Department of Licensing and Regulatory Affairs
Board of Nursing
SOUNDRA DIANE MACKAVICH
Nursing - Nurse Practitioner
License number
4704145285
Date granted
10/21/2009
Date expires
03/31/2018
Class
Nursing - Nurse Practitioner
Status
Active
Address
nursingmichigan.com
ID 39030073
LAST UPDATED 2026-03-21 10:55:46 UTC
LAST UPDATED 2026-03-21 10:55:46 UTC
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