License holder summary

KELLY ANN BANNASCH is a Physician's Assistant - Physician Assistant Temporary licensed to practice in Michigan. The address on file for KELLY ANN BANNASCH is Charlotte, NC 28226.

Michigan

Department of Licensing and Regulation

KELLY ANN BANNASCH
Physician's Assistant - Physician Assistant Temporary
License number
5601002420
Class
Physician's Assistant - Physician Assistant Temporary
Status
Voided
Address
Charlotte, NC 28226
michiganlicensing.org
ID 25997121
LAST UPDATED 2021-09-04 09:23:28 UTC

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