Michigan
Department of Licensing and Regulation
KATHRYN AGNES FAHLSTROM
Physician's Assistant - Physician Assistant
License number
5601006020
Date granted
07/08/2011
Date expires
08/31/2016
Class
Physician's Assistant - Physician Assistant
Status
Active
Address
Stockbridge, MI 49285
michiganlicensing.org
ID 25991941
LAST UPDATED 2026-06-10 23:40:17 UTC
LAST UPDATED 2026-06-10 23:40:17 UTC
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