Michigan
Department of Licensing and Regulation
EMILIE VANDERSLICE PROUT
Physician's Assistant - Physician Assistant Temporary
License number
5601005977
Date granted
03/21/2011
Date expires
09/21/2012
Class
Physician's Assistant - Physician Assistant Temporary
Status
Voided
Address
Grosse Pointe Park, MI 48230
michiganlicensing.org
ID 26000488
LAST UPDATED 2026-05-07 09:33:38 UTC
LAST UPDATED 2026-05-07 09:33:38 UTC
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