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
LAST UPDATED 2026-05-25 12:49:03 UTC
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