License holder summary

CARMEN SUSANNE LICAVOLI is a Nursing - Nurse Practitioner licensed to practice in Michigan. This nurse license is not current. The license was granted 11/01/2002 and expired on 03/31/2013.

Department of Licensing and Regulatory Affairs

Board of Nursing

CARMEN SUSANNE LICAVOLI
Nursing - Nurse Practitioner
License number
4704185653
Date granted
11/01/2002
Date expires
03/31/2013
Class
Nursing - Nurse Practitioner
Status
Lapsed
Address
nursingmichigan.com
ID 39029910
LAST UPDATED 2024-03-15 23:09:05 UTC

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