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 2026-05-09 09:45:03 UTC
LAST UPDATED 2026-05-09 09:45:03 UTC
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