KIM DOUGLAS WIDRIG - Advanced Practice Nurse License in Michigan | # 209006232

KIM DOUGLAS WIDRIG

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209006232

License Status

NOT RENEWED

Business

N

First Name

KIM

Middle

DOUGLAS

Last Name

WIDRIG

Business Name

KIM DOUGLAS WIDRIG

Original Issue Date

10/02/2006

Effective Date

10/02/2006

Expiration Date

05/31/2008

State

MI

Ever Disciplined

N

LastModifiedDate

07/11/2008