Michigan
Department of Licensing and Regulation
CAROLYN MARIE WIESE
Physician's Assistant - Physician Assistant
License number
5601003704
Date granted
11/08/2001
Date expires
08/31/2006
Class
Physician's Assistant - Physician Assistant
Status
Lapsed
Address
Plainwell, MI 49080
michiganlicensing.org
ID 25996544
LAST UPDATED 2026-06-09 01:20:23 UTC
LAST UPDATED 2026-06-09 01:20:23 UTC
This website is unaffiliated with the Department of Licensing and Regulation. Please verify all information directly with the relevant official government authority.