License holder summary

JENEFER JUNE SOUTHWICK is a Physician's Assistant - Physician Assistant Temporary licensed to practice in Michigan. The address on file for JENEFER JUNE SOUTHWICK is Waterford, MI 48329. This licensed professional license is not current. The license was granted 09/12/2002 and expired on 03/12/2004.

Michigan

Department of Licensing and Regulation

JENEFER JUNE SOUTHWICK
Physician's Assistant - Physician Assistant Temporary
License number
5601003974
Date granted
09/12/2002
Date expires
03/12/2004
Class
Physician's Assistant - Physician Assistant Temporary
Status
Voided
Address
Waterford, MI 48329
michiganlicensing.org
ID 26000996
LAST UPDATED 2024-05-02 16:31:33 UTC

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