Michigan
Department of Licensing and Regulation
MARY JANE FAVOT
Nurse Registered & Licensed Practical - Nurse Practitioner
License number
4704109477
Date granted
01/13/2003
Date expires
03/31/2016
Class
Nurse Registered & Licensed Practical - Nurse Practitioner
Status
Active
Address
Woodhaven, MI 48183
michiganlicensing.org
ID 25858143
LAST UPDATED 2024-03-31 11:07:20 UTC
LAST UPDATED 2024-03-31 11:07:20 UTC
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