Michigan
Department of Licensing and Regulation
JESSICA MARIE TACCONELLI
Physician's Assistant - Physician Assistant
License number
5601006221
Date granted
09/27/2011
Date expires
08/31/2015
Class
Physician's Assistant - Physician Assistant
Status
Active
Address
Troy, MI 48085
michiganlicensing.org
ID 25995727
LAST UPDATED 2024-02-27 17:05:41 UTC
LAST UPDATED 2024-02-27 17:05:41 UTC
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