Michigan
Department of Licensing and Regulation
BASEL AWA
Physician's Assistant - Physician Assistant
License number
5601004274
Date granted
04/12/2004
Date expires
08/31/2004
Class
Physician's Assistant - Physician Assistant
Status
Lapsed
Address
Toledo, OH 43615
michiganlicensing.org
ID 25990708
LAST UPDATED 2024-03-14 08:04:22 UTC
LAST UPDATED 2024-03-14 08:04:22 UTC
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