License holder summary

SUSAN C VAN WAGNER is a Nurse Registered & Licensed Practical - Nurse Practitioner licensed to practice in Michigan. The address on file for SUSAN C VAN WAGNER is Brooklyn, MI 49230.

Michigan

Department of Licensing and Regulation

SUSAN C VAN WAGNER
Nurse Registered & Licensed Practical - Nurse Practitioner
License number
4704093060
Date expires
03/31/1988
Class
Nurse Registered & Licensed Practical - Nurse Practitioner
Status
Lapsed
Address
Brooklyn, MI 49230
michiganlicensing.org
ID 25862052
LAST UPDATED 2024-03-27 00:57:40 UTC

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