JODY M FACKELMAN - Registered Nurse License in Michigan | # 041338861

JODY M FACKELMAN

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041338861

License Status

INACTIVE

Business

N

First Name

JODY

Middle

M

Last Name

FACKELMAN

Business Name

JODY M FACKELMAN

Original Issue Date

01/28/2004

Effective Date

01/28/2004

Expiration Date

05/31/2008

State

MI

Ever Disciplined

N

LastModifiedDate

03/11/2008