TIA DOMINIQUE AGBORUCHE - Advanced Practice Nurse License in Michigan | # 209028737

TIA DOMINIQUE AGBORUCHE

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209028737

License Status

NOT RENEWED

Business

N

First Name

TIA

Middle

DOMINIQUE

Last Name

AGBORUCHE

Business Name

TIA DOMINIQUE AGBORUCHE

Original Issue Date

11/09/2023

Effective Date

11/09/2023

Expiration Date

06/30/2024

State

MI

Ever Disciplined

N

LastModifiedDate

02/05/2025