License Directory

Ellen Clair Bouazizi

Active

Michigan license 4301513613

License

Licensed by
Michigan Department of Licensing and Regulatory Affairs
License number
4301513613
Status
Active
First issued
January 27, 2025
Expires
January 27, 2028
License holder
Ellen Clair Bouazizi
Entity type
Individual

Classifications

Contact

University of Michigan
1500 E Medical Center Dr. 3110 TC SPC 5368
Ann Arbor, MI 48109
Washtenaw County