Michigan
Department of Licensing and Regulation
LISA ELIZABETH FORTIN
Nurse Registered & Licensed Practical - Rn Provisional
License number
4704309868
Date granted
10/27/2014
Class
Nurse Registered & Licensed Practical - Rn Provisional
Status
Voided
Address
Ogdensburg, NY 13669
michiganlicensing.org
ID 25839199
LAST UPDATED 2024-04-06 02:47:50 UTC
LAST UPDATED 2024-04-06 02:47:50 UTC
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