License holder summary

TODD DANIEL FUNDERBURG is a Nurse Registered & Licensed Practical - Rn Provisional licensed to practice in Michigan. The address on file for TODD DANIEL FUNDERBURG is Moran, MI 49760. This licensed professional license is not current. The license was granted 07/13/2012 and expired on 07/13/2013.

Michigan

Department of Licensing and Regulation

TODD DANIEL FUNDERBURG
Nurse Registered & Licensed Practical - Rn Provisional
License number
4704293706
Date granted
07/13/2012
Date expires
07/13/2013
Class
Nurse Registered & Licensed Practical - Rn Provisional
Status
Voided
Address
Moran, MI 49760
michiganlicensing.org
ID 25839243
LAST UPDATED 2024-02-21 20:43:25 UTC

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