License Information
License Number
041525647Business Name
DIVYABAHEN VIJAYKUMAR PATELLicense Type
NURSING BOARDOriginal Issue Date
1970-01-01License Status
ACTIVECity
MICHIGANState
MIPost
48187Update Date
2022-09-04Business
NEffective Date
04/07/2022Expiration Date
05/31/2024Ever Disciplined
NLastModifiedDate
04/07/2022Registered Location
Peripheral Licensees
- JORGE ALBERTO TEJERO JR MICHIGAN, IN 46360
- DAVID W KECK MICHIGAN, IN 46360
- JORGE ALBERTO TEJERO JR MICHIGAN, IN 46360