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
LAST UPDATED 2024-05-16 15:09:56 UTC
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