License holder summary

ANDREA LAYNE BACA is a Physician's Assistant - Physician Assistant Temporary licensed to practice in Michigan. The address on file for ANDREA LAYNE BACA is Kalamazoo, MI 49006. This licensed professional license is not current. The license was granted 04/25/2003 and expired on 10/25/2004.

Michigan

Department of Licensing and Regulation

ANDREA LAYNE BACA
Physician's Assistant - Physician Assistant Temporary
License number
5601004044
Date granted
04/25/2003
Date expires
10/25/2004
Class
Physician's Assistant - Physician Assistant Temporary
Status
Voided
Address
Kalamazoo, MI 49006
michiganlicensing.org
ID 25997082
LAST UPDATED 2024-02-23 14:17:12 UTC

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