License holder summary

SOUNDRA DIANE MACKAVICH is a Nurse Registered & Licensed Practical - Nurse Practitioner licensed to practice in Michigan. The address on file for SOUNDRA DIANE MACKAVICH is Waterford, MI 48328. This licensed professional license is current. The license was granted 10/21/2009 and expired on 03/31/2016.

Michigan

Department of Licensing and Regulation

SOUNDRA DIANE MACKAVICH
Nurse Registered & Licensed Practical - Nurse Practitioner
License number
4704145285
Date granted
10/21/2009
Date expires
03/31/2016
Class
Nurse Registered & Licensed Practical - Nurse Practitioner
Status
Active
Address
Waterford, MI 48328
michiganlicensing.org
ID 25859974
LAST UPDATED 2024-05-16 15:09:56 UTC

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