License holder summary

KELLIE PATRICE DISTEFANO is a Physician's Assistant - Physician Assistant licensed to practice in Michigan. The address on file for KELLIE PATRICE DISTEFANO is Fennville, MI 49408. This licensed professional license is current. The license was granted 12/19/1995 and expired on 08/31/2016.

Michigan

Department of Licensing and Regulation

KELLIE PATRICE DISTEFANO
Physician's Assistant - Physician Assistant
License number
5601002464
Date granted
12/19/1995
Date expires
08/31/2016
Class
Physician's Assistant - Physician Assistant
Status
Active
Address
Fennville, MI 49408
michiganlicensing.org
ID 25991661
LAST UPDATED 2024-05-02 17:05:48 UTC

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