License holder summary

CHARLES R TACKETT is a Physician's Assistant - Physician Assistant licensed to practice in Michigan. The address on file for CHARLES R TACKETT is Kalamazoo, MI 49004. This licensed professional license is current. The license was granted 04/01/1980 and expired on 08/31/2016.

Michigan

Department of Licensing and Regulation

CHARLES R TACKETT
Physician's Assistant - Physician Assistant
License number
5601001124
Date granted
04/01/1980
Date expires
08/31/2016
Class
Physician's Assistant - Physician Assistant
Status
Active
Address
Kalamazoo, MI 49004
michiganlicensing.org
ID 25995729
LAST UPDATED 2024-05-04 05:16:51 UTC

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