Weldon John Mallgren
ActiveMichigan license EMC0005235
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- EMC0005235
- Status
- Active
- First issued
- May 31, 2024
- Expires
- May 31, 2027
- License holder
- Weldon John Mallgren
- Entity type
- Individual
Classifications
- Expedited Compact (Health) Other Health Care
Contact
2005 Valley View Dr
Claremore, OK 74017
Claremore, OK 74017