Willmar Davison Patino Cadavid
ActiveMichigan license EMC0000736
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- EMC0000736
- Status
- Active
- First issued
- December 9, 2020
- Expires
- December 9, 2026
- License holder
- Willmar Davison Patino Cadavid
- Entity type
- Individual
Classifications
- Expedited Compact (Health) Other Health Care
Contact
801 York St
Manitowoc, WI 54220
Manitowoc, WI 54220