Michigan
Department of Licensing and Regulation
HEATHER LYNNE MATA
Physician's Assistant - Physician Assistant
License number
5601002771
Date granted
01/31/1997
Date expires
08/31/2013
Class
Physician's Assistant - Physician Assistant
Status
Lapsed
Address
West Terre Haute, IN 47885
michiganlicensing.org
ID 25994013
LAST UPDATED 2026-05-09 01:48:07 UTC
LAST UPDATED 2026-05-09 01:48:07 UTC
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