License holder summary

KATHY ANN LONG is a Physician's Assistant - Physician Assistant licensed to practice in Michigan. The address on file for KATHY ANN LONG is Windham, ME 04062. This licensed professional license is not current. The license was granted 03/23/2005 and expired on 08/31/2005.

Michigan

Department of Licensing and Regulation

KATHY ANN LONG
Physician's Assistant - Physician Assistant
License number
5601004482
Date granted
03/23/2005
Date expires
08/31/2005
Class
Physician's Assistant - Physician Assistant
Status
Lapsed
Address
Windham, ME 04062
michiganlicensing.org
ID 25993863
LAST UPDATED 2024-03-29 06:05:39 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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