Anthony Bernard Bullard
ActiveMichigan license EMC0001575
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- EMC0001575
- Status
- Active
- First issued
- January 12, 2022
- Expires
- January 12, 2028
- License holder
- Anthony Bernard Bullard
- Entity type
- Individual
Classifications
- Expedited Compact (Health) Other Health Care
Contact
368 High Desert Road
Grand Junction, CO 81507
Grand Junction, CO 81507