Clarence Lyn Nicodemus
ActiveMichigan license 5101016107
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- 5101016107
- Status
- Active
- First issued
- October 19, 2015
- Expires
- October 19, 2029
- License holder
- Clarence Lyn Nicodemus
- Entity type
- Individual
Classifications
- Osteopathic Physician Physicians & Surgeons