License Directory

Elizabeth Louise Bascom

Active

Michigan license 4301078414

License

Licensed by
Michigan Department of Licensing and Regulatory Affairs
License number
4301078414
Status
Active
First issued
February 12, 2004
Expires
February 12, 2029
License holder
Elizabeth Louise Bascom
Entity type
Individual

Classifications

Contact

HFHS St John Hospital
Emergency Department 22101 Moross Rd
Detroit, MI 48236
Wayne County