Michigan
Department of Licensing and Regulation
TRACEY VAN PETTEN
Nurse Registered & Licensed Practical - Rn Provisional
License number
4704299480
Date granted
06/19/2013
Date expires
06/19/2014
Class
Nurse Registered & Licensed Practical - Rn Provisional
Status
Voided
Address
Middletown, OH 45044
michiganlicensing.org
ID 25842032
LAST UPDATED 2026-04-06 08:23:26 UTC
LAST UPDATED 2026-04-06 08:23:26 UTC
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