License holder summary

JEFFREY TIM BALLAST is a Physician's Assistant - Physician Assistant Temporary licensed to practice in Michigan. The address on file for JEFFREY TIM BALLAST is Traverse City, MI 49686.

Michigan

Department of Licensing and Regulation

JEFFREY TIM BALLAST
Physician's Assistant - Physician Assistant Temporary
License number
5601003019
Class
Physician's Assistant - Physician Assistant Temporary
Status
Voided
Address
Traverse City, MI 49686
michiganlicensing.org
ID 25997119
LAST UPDATED 2024-03-17 05:11:51 UTC

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