License Directory

Anita Bernadette Shallal

Active

Michigan license 4301505201

License

Licensed by
Michigan Department of Licensing and Regulatory Affairs
License number
4301505201
Status
Active
First issued
July 1, 2021
Expires
July 1, 2027
License holder
Anita Bernadette Shallal
Entity type
Individual

Classifications

Contact

Henry Ford Hospital
GME Office 2799 W Grand Blvd
Detroit, MI 48202
Wayne County