Michigan
Department of Licensing and Regulation
MICHAEL SHANE FOURNIER
Nurse Registered & Licensed Practical - Nurse Practitioner
License number
4704190765
Date granted
04/05/2004
Date expires
03/31/2008
Class
Nurse Registered & Licensed Practical - Nurse Practitioner
Status
Lapsed
Address
Ypsilanti, MI 48197
michiganlicensing.org
ID 25858302
LAST UPDATED 2024-03-28 09:06:44 UTC
LAST UPDATED 2024-03-28 09:06:44 UTC
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