Michigan
Department of Licensing and Regulation
JESSIE THOMAS ITTIARA
Physician's Assistant - Physician Assistant
License number
5601003513
Date granted
11/07/2000
Date expires
08/31/2015
Class
Physician's Assistant - Physician Assistant
Status
Active
Address
Ypsilanti, MI 48197
michiganlicensing.org
ID 25993009
LAST UPDATED 2024-05-13 05:41:05 UTC
LAST UPDATED 2024-05-13 05:41:05 UTC
This website is unaffiliated with the Department of Licensing and Regulation. Please verify all information directly with the relevant official government authority.