MOLLY SUSAN BANTA
Nursing in Jenison, MI

License number
Michigan 4703037786
Issued Date
Nov 18, 1975
Expiration Date
Mar 31, 1995
Category
Nursing
Type
LPN
Address
Address
Jenison, MI 49428
LicenseFiles verified this license of Jan 13, 2017 at the Michigan Bureau of Professional Licensing.

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