License holder summary

KELLY JEAN WALWORTH is a Physician's Assistant - Physician Assistant licensed to practice in Michigan. The address on file for KELLY JEAN WALWORTH is Saint Joseph, MI 49085. This licensed professional license is not current. The license was granted 03/10/2003 and expired on 08/31/2005.

Michigan

Department of Licensing and Regulation

KELLY JEAN WALWORTH
Physician's Assistant - Physician Assistant
License number
5601004026
Date granted
03/10/2003
Date expires
08/31/2005
Class
Physician's Assistant - Physician Assistant
Status
Lapsed
Address
Saint Joseph, MI 49085
michiganlicensing.org
ID 25996394
LAST UPDATED 2024-04-22 18:34:00 UTC

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