Avida Nubia Bussell
ActiveMichigan license EMC0004783
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- EMC0004783
- Status
- Active
- First issued
- March 5, 2024
- Expires
- March 5, 2027
- License holder
- Avida Nubia Bussell
- Entity type
- Individual
Classifications
- Expedited Compact (Health) Other Health Care
Contact
22615 Hunters Trail
Frankfort, IL 60423
Frankfort, IL 60423