License holder summary

JORDAN MICHELLE WAGNER is a Physician's Assistant - Physician Assistant Temporary licensed to practice in Michigan. The address on file for JORDAN MICHELLE WAGNER is Niles, MI 49120. This licensed professional license is not current. The license was granted 08/13/2007 and expired on 02/13/2009.

Michigan

Department of Licensing and Regulation

JORDAN MICHELLE WAGNER
Physician's Assistant - Physician Assistant Temporary
License number
5601005116
Date granted
08/13/2007
Date expires
02/13/2009
Class
Physician's Assistant - Physician Assistant Temporary
Status
Voided
Address
Niles, MI 49120
michiganlicensing.org
ID 26001484
LAST UPDATED 2026-06-02 20:23:13 UTC

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