License holder summary

PHYLLIS NICHOLAS is a Nurse Registered & Licensed Practical - Nurse Anesthetist licensed to practice in Michigan. The address on file for PHYLLIS NICHOLAS is Lakeport, MI 48059. This licensed professional license is not current. The license was granted 02/17/1992 and expired on 03/31/2011.

Michigan

Department of Licensing and Regulation

PHYLLIS NICHOLAS
Nurse Registered & Licensed Practical - Nurse Anesthetist
License number
4704073259
Date granted
02/17/1992
Date expires
03/31/2011
Class
Nurse Registered & Licensed Practical - Nurse Anesthetist
Status
Lapsed
Address
Lakeport, MI 48059
michiganlicensing.org
ID 25853748
LAST UPDATED 2024-01-30 05:40:19 UTC

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