Michigan
Department of Licensing and Regulation
DIANE M VISICH
Physician's Assistant - Physician Assistant
License number
5601003226
Date granted
01/12/2000
Date expires
08/31/2012
Class
Physician's Assistant - Physician Assistant
Status
Lapsed
Address
Mount Pleasant, MI 48858
michiganlicensing.org
ID 25996305
LAST UPDATED 2026-05-23 23:57:57 UTC
LAST UPDATED 2026-05-23 23:57:57 UTC
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