License holder summary

ANDRE LANE PRIDE is a Physician's Assistant - Physician Assistant Temporary licensed to practice in Michigan. The address on file for ANDRE LANE PRIDE is Otsego, MI 49078. This licensed professional license is not current. The license was granted 08/22/2011 and expired on 02/22/2013.

Michigan

Department of Licensing and Regulation

ANDRE LANE PRIDE
Physician's Assistant - Physician Assistant Temporary
License number
5601006117
Date granted
08/22/2011
Date expires
02/22/2013
Class
Physician's Assistant - Physician Assistant Temporary
Status
Voided
Address
Otsego, MI 49078
michiganlicensing.org
ID 26000480
LAST UPDATED 2024-04-13 21:46:00 UTC

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