License Directory

Nicholas Vencenzo Moore

Active

Michigan license 5101028264

License

Licensed by
Michigan Department of Licensing and Regulatory Affairs
License number
5101028264
Status
Active
First issued
June 27, 2024
Expires
June 27, 2027
License holder
Nicholas Vencenzo Moore
Entity type
Individual

Classifications

Contact

Ascension Macomb Oakland Hospital
GME Office 12000 E 12 Mile Rd
Warren, MI 48093
Macomb County