License holder summary

DEALIE ELIZABETH PARK is a Physician's Assistant - Physician Assistant licensed to practice in Michigan. The address on file for DEALIE ELIZABETH PARK is Thousand Oaks, CA 913611307. This licensed professional license is not current. The license was granted 09/03/1997 and expired on 08/31/2002.

Michigan

Department of Licensing and Regulation

DEALIE ELIZABETH PARK
Physician's Assistant - Physician Assistant
License number
5601002655
Date granted
09/03/1997
Date expires
08/31/2002
Class
Physician's Assistant - Physician Assistant
Status
Lapsed
Address
Thousand Oaks, CA 913611307
michiganlicensing.org
ID 25994699
LAST UPDATED 2024-02-21 02:26:35 UTC

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