License holder summary

TRACY ADA BRUBAKER is a Physician's Assistant - Physician Assistant Temporary licensed to practice in Michigan. The address on file for TRACY ADA BRUBAKER is Brighton, MI 48116. This licensed professional license is not current. The license was granted 08/13/2002 and expired on 02/13/2004.

Michigan

Department of Licensing and Regulation

TRACY ADA BRUBAKER
Physician's Assistant - Physician Assistant Temporary
License number
5601003928
Date granted
08/13/2002
Date expires
02/13/2004
Class
Physician's Assistant - Physician Assistant Temporary
Status
Voided
Address
Brighton, MI 48116
michiganlicensing.org
ID 25997370
LAST UPDATED 2024-03-16 18:06:28 UTC

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