License holder summary

MOANA BACALSO JAKOSALEM is a Nurse Registered & Licensed Practical - Rn Provisional licensed to practice in Michigan. The address on file for MOANA BACALSO JAKOSALEM is Clearwater, FL 33756. This licensed professional license is not current. The license was granted 03/13/2008 and expired on 03/13/2009.

Michigan

Department of Licensing and Regulation

MOANA BACALSO JAKOSALEM
Nurse Registered & Licensed Practical - Rn Provisional
License number
4704264315
Date granted
03/13/2008
Date expires
03/13/2009
Class
Nurse Registered & Licensed Practical - Rn Provisional
Status
Voided
Address
Clearwater, FL 33756
michiganlicensing.org
ID 25839827
LAST UPDATED 2026-06-17 19:31:08 UTC

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