License holder summary

KENNETH PAUL WALWORTH, III is a Physician's Assistant - Physician Assistant Temporary licensed to practice in Michigan. The address on file for KENNETH PAUL WALWORTH, III is Grand Rapids, MI 49508. This licensed professional license is not current. The license was granted 09/05/2014.

Michigan

Department of Licensing and Regulation

KENNETH PAUL WALWORTH, III
Physician's Assistant - Physician Assistant Temporary
License number
5601007136
Date granted
09/05/2014
Class
Physician's Assistant - Physician Assistant Temporary
Status
Voided
Address
Grand Rapids, MI 49508
michiganlicensing.org
ID 26001521
LAST UPDATED 2024-03-26 12:39:58 UTC

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