License holder summary

KENNETH DOUGLAS ROOT is a Physician's Assistant - Physician Assistant licensed to practice in Michigan. The address on file for KENNETH DOUGLAS ROOT is Grand Rapids, MI 49503. This licensed professional license is current. The license was granted 01/12/2001 and expired on 08/31/2016.

Michigan

Department of Licensing and Regulation

KENNETH DOUGLAS ROOT
Physician's Assistant - Physician Assistant
License number
5601003447
Date granted
01/12/2001
Date expires
08/31/2016
Class
Physician's Assistant - Physician Assistant
Status
Active
Address
Grand Rapids, MI 49503
michiganlicensing.org
ID 25995275
LAST UPDATED 2026-05-23 15:07:45 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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