Michigan
Department of Licensing and Regulation
JUDITH LYNN WAGENSOMER
Physician's Assistant - Physician Assistant
License number
5601002034
Date granted
08/09/1991
Date expires
08/31/2016
Class
Physician's Assistant - Physician Assistant
Status
Active
Address
Canton, MI 48188
michiganlicensing.org
ID 25996352
LAST UPDATED 2026-04-12 13:54:24 UTC
LAST UPDATED 2026-04-12 13:54:24 UTC
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