William Kenneth Mask
ActiveMichigan license EMC0001777
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- EMC0001777
- Status
- Active
- First issued
- March 10, 2022
- Expires
- March 10, 2028
- License holder
- William Kenneth Mask
- Entity type
- Individual
Classifications
- Expedited Compact (Health) Other Health Care
Contact
305 Cambridge Dr.
Lafayette, LA 70503
Lafayette, LA 70503