Department of Licensing and Regulatory Affairs
Board of Nursing
JERRY IDICULLA CHANDY
Nursing - Nurse Practitioner
License number
4704276954
Date granted
10/23/2013
Date expires
03/31/2017
Class
Nursing - Nurse Practitioner
Status
Active
Address
nursingmichigan.com
ID 39026214
LAST UPDATED 2024-03-26 01:47:13 UTC
LAST UPDATED 2024-03-26 01:47:13 UTC
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