License holder summary

LISA ANN LICAVOLI is a Nurse Registered & Licensed Practical - Nurse Anesthetist licensed to practice in Michigan. The address on file for LISA ANN LICAVOLI is Clinton Township, MI 48038. This licensed professional license is current. The license was granted 04/14/2004 and expired on 03/31/2016.

Michigan

Department of Licensing and Regulation

LISA ANN LICAVOLI
Nurse Registered & Licensed Practical - Nurse Anesthetist
License number
4704189302
Date granted
04/14/2004
Date expires
03/31/2016
Class
Nurse Registered & Licensed Practical - Nurse Anesthetist
Status
Active
Address
Clinton Township, MI 48038
michiganlicensing.org
ID 25853269
LAST UPDATED 2026-05-25 12:49:03 UTC

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