Department of Licensing and Regulatory Affairs
Board of Nursing
KENNITHIA E SOUTHALL
Nursing - Nurse Practitioner
License number
4704296519
Date granted
03/12/2013
Date expires
03/31/2016
Class
Nursing - Nurse Practitioner
Status
Lapsed
Address
nursingmichigan.com
ID 39032359
LAST UPDATED 2024-04-07 19:12:44 UTC
LAST UPDATED 2024-04-07 19:12:44 UTC
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