Andrew Blake Zimmerman
ActiveMichigan license EMC0001129
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- EMC0001129
- Status
- Active
- First issued
- June 21, 2021
- Expires
- June 21, 2027
- License holder
- Andrew Blake Zimmerman
- Entity type
- Individual
Classifications
- Expedited Compact (Health) Other Health Care
Contact
40 Gateway Drive
Great Neck, NY 11021
Great Neck, NY 11021