Department of Licensing and Regulatory Affairs
Board of Nursing
LISA DIANE SUROVICK
Nursing - Nurse Practitioner
License number
4704147850
Date granted
06/05/2014
Date expires
03/31/2017
Class
Nursing - Nurse Practitioner
Status
Active
Address
nursingmichigan.com
ID 39032593
LAST UPDATED 2024-02-18 17:46:17 UTC
LAST UPDATED 2024-02-18 17:46:17 UTC
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