Michigan
Department of Licensing and Regulation
MARIELLEN DAVIS
Nursing Home Administrator - Nursing Home Administrator
License number
4801004479
Date granted
06/06/2001
Date expires
10/31/2009
Class
Nursing Home Administrator - Nursing Home Administrator
Status
Lapsed
Address
South Lyon, MI 48178
michiganlicensing.org
ID 25863815
LAST UPDATED 2026-03-22 02:50:55 UTC
LAST UPDATED 2026-03-22 02:50:55 UTC
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