Department of Licensing and Regulatory Affairs
Board of Nursing
JACK ALLEN KOOIENGA
Nursing - Nurse Practitioner
License number
4704218318
Date granted
02/02/2006
Date expires
03/31/2017
Class
Nursing - Nurse Practitioner
Status
Active
Address
nursingmichigan.com
ID 39029588
LAST UPDATED 2024-04-20 03:06:59 UTC
LAST UPDATED 2024-04-20 03:06:59 UTC
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