License holder summary

NICOLE RENEE TANTIPITHAM is a Nurse Registered & Licensed Practical - Nurse Anesthetist licensed to practice in Michigan. The address on file for NICOLE RENEE TANTIPITHAM is Milford, MI 48380. This licensed professional license is current. The license was granted 10/05/2010 and expired on 03/31/2015.

Michigan

Department of Licensing and Regulation

NICOLE RENEE TANTIPITHAM
Nurse Registered & Licensed Practical - Nurse Anesthetist
License number
4704253054
Date granted
10/05/2010
Date expires
03/31/2015
Class
Nurse Registered & Licensed Practical - Nurse Anesthetist
Status
Active
Address
Milford, MI 48380
michiganlicensing.org
ID 25854827
LAST UPDATED 2026-05-15 15:49:54 UTC

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