Michigan
Department of Licensing and Regulation
DEBRA HAMBURG BUREAU
Physician's Assistant - Physician Assistant
License number
5601004446
Date granted
10/22/2004
Date expires
08/31/2015
Class
Physician's Assistant - Physician Assistant
Status
Active
Address
Canton, MI 48188
michiganlicensing.org
ID 25991021
LAST UPDATED 2024-02-28 09:09:58 UTC
LAST UPDATED 2024-02-28 09:09:58 UTC
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