Michigan
Department of Licensing and Regulation
AMEY LOUANN MOEGGENBORG
Physician's Assistant - Physician Assistant Temporary
License number
5601004378
Date granted
08/27/2004
Date expires
02/27/2006
Class
Physician's Assistant - Physician Assistant Temporary
Status
Voided
Address
Hartland, MI 48353
michiganlicensing.org
ID 25999956
LAST UPDATED 2024-04-28 03:27:46 UTC
LAST UPDATED 2024-04-28 03:27:46 UTC
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