License holder summary

THRESIAMMA IDICHANDY is a Nurse Registered & Licensed Practical - Nurse Practitioner licensed to practice in Michigan. The address on file for THRESIAMMA IDICHANDY is Troy, MI 48083. This licensed professional license is current. The license was granted 01/09/2002 and expired on 03/31/2016.

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

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