Michigan
Department of Licensing and Regulation
HOLLY SHAYNE WELZ GUSTAFSON
Physician's Assistant - Physician Assistant
License number
5601004148
Date granted
10/10/2003
Date expires
08/31/2016
Class
Physician's Assistant - Physician Assistant
Status
Active
Address
Grand Rapids, MI 49525
michiganlicensing.org
ID 25992601
LAST UPDATED 2024-05-05 00:02:12 UTC
LAST UPDATED 2024-05-05 00:02:12 UTC
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