Michigan
Department of Licensing and Regulation
JILL ANNE GOMOLL
Physician's Assistant - Physician Assistant
License number
5601004130
Date granted
10/10/2003
Date expires
08/31/2016
Class
Physician's Assistant - Physician Assistant
Status
Active
Address
Grand Ledge, MI 48837
michiganlicensing.org
ID 25992440
LAST UPDATED 2026-07-28 18:40:56 UTC
LAST UPDATED 2026-07-28 18:40:56 UTC
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