License holder summary

JONATHAN MICHAEL RUSSELL is a Physician's Assistant - Physician Assistant Temporary licensed to practice in Michigan. The address on file for JONATHAN MICHAEL RUSSELL is Ludington, MI 49431. This licensed professional license is not current. The license was granted 08/27/2014.

Michigan

Department of Licensing and Regulation

JONATHAN MICHAEL RUSSELL
Physician's Assistant - Physician Assistant Temporary
License number
5601007115
Date granted
08/27/2014
Class
Physician's Assistant - Physician Assistant Temporary
Status
Voided
Address
Ludington, MI 49431
michiganlicensing.org
ID 26000764
LAST UPDATED 2024-03-08 16:31:40 UTC

This website is unaffiliated with the Department of Licensing and Regulation. Please verify all information directly with the relevant official government authority.

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