License holder summary

SHANNON DIANE INGRAHAM is a Nurse Registered & Licensed Practical - Rn Provisional licensed to practice in Michigan. The address on file for SHANNON DIANE INGRAHAM is Hannacroix, NY 12087. This licensed professional license is not current. The license was granted 10/26/2010 and expired on 10/26/2011.

Michigan

Department of Licensing and Regulation

SHANNON DIANE INGRAHAM
Nurse Registered & Licensed Practical - Rn Provisional
License number
4704281471
Date granted
10/26/2010
Date expires
10/26/2011
Class
Nurse Registered & Licensed Practical - Rn Provisional
Status
Voided
Address
Hannacroix, NY 12087
michiganlicensing.org
ID 25839794
LAST UPDATED 2024-03-20 08:01:02 UTC

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