License holder summary

JULIE ANN R KENNISON is a Physician's Assistant - Physician Assistant licensed to practice in Michigan. The address on file for JULIE ANN R KENNISON is West Bend, WI 53095. This licensed professional license is not current. The license was granted 09/23/2003 and expired on 08/31/2004.

Michigan

Department of Licensing and Regulation

JULIE ANN R KENNISON
Physician's Assistant - Physician Assistant
License number
5601004192
Date granted
09/23/2003
Date expires
08/31/2004
Class
Physician's Assistant - Physician Assistant
Status
Lapsed
Address
West Bend, WI 53095
michiganlicensing.org
ID 25993363
LAST UPDATED 2024-05-01 23:22:56 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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