License holder summary

LISA LIANE DIMODICA is a Physician's Assistant - Physician Assistant licensed to practice in Michigan. The address on file for LISA LIANE DIMODICA is Waterford, MI 483291624. This licensed professional license is not current. The license was granted 01/20/1999 and expired on 08/31/2005.

Michigan

Department of Licensing and Regulation

LISA LIANE DIMODICA
Physician's Assistant - Physician Assistant
License number
5601003098
Date granted
01/20/1999
Date expires
08/31/2005
Class
Physician's Assistant - Physician Assistant
Status
Lapsed
Address
Waterford, MI 483291624
michiganlicensing.org
ID 25991655
LAST UPDATED 2024-04-07 21:42:40 UTC

This website is unaffiliated with the Department of Licensing and Regulation. Please verify all information directly with the relevant official government authority.

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