Michigan
Department of Licensing and Regulation
JENNIFER VANDER WALL
Physician's Assistant - Physician Assistant
License number
5601004566
Date granted
07/08/2005
Date expires
08/31/2016
Class
Physician's Assistant - Physician Assistant
Status
Active
Address
Ada, MI 49301
michiganlicensing.org
ID 25996190
LAST UPDATED 2024-03-10 03:56:42 UTC
LAST UPDATED 2024-03-10 03:56:42 UTC
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