Michigan
Department of Licensing and Regulation
THRESIAMMA IDICHANDY
Nurse Registered & Licensed Practical - Nurse Practitioner
License number
4704171067
Date granted
01/09/2002
Date expires
03/31/2016
Class
Nurse Registered & Licensed Practical - Nurse Practitioner
Status
Active
Address
Troy, MI 48083
michiganlicensing.org
ID 25859025
LAST UPDATED 2024-04-26 06:51:48 UTC
LAST UPDATED 2024-04-26 06:51:48 UTC
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