Michigan
Department of Licensing and Regulation
ANN E SOUKUP
Physician's Assistant - Physician Assistant
License number
5601001432
Date granted
09/29/1983
Date expires
08/31/2014
Class
Physician's Assistant - Physician Assistant
Status
Lapsed
Address
Kalamazoo, MI 49009
michiganlicensing.org
ID 25995582
LAST UPDATED 2024-04-29 10:40:21 UTC
LAST UPDATED 2024-04-29 10:40:21 UTC
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