Michigan
Department of Licensing and Regulation
LISA K BERTHOLD
Nursing Home Administrator - Nursing Home Administrator
License number
4801003822
Date granted
08/17/1995
Date expires
10/31/2015
Class
Nursing Home Administrator - Nursing Home Administrator
Status
Active
Address
Fenton, MI 48430
michiganlicensing.org
ID 25863208
LAST UPDATED 2024-05-01 08:13:11 UTC
LAST UPDATED 2024-05-01 08:13:11 UTC
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