License holder summary

KEVIN JON WIERSUM is a Physician's Assistant - Physician Assistant licensed to practice in Michigan. The address on file for KEVIN JON WIERSUM is Grand Rapids, MI 49525. This licensed professional license is current. The license was granted 07/07/2003 and expired on 08/31/2016.

Michigan

Department of Licensing and Regulation

KEVIN JON WIERSUM
Physician's Assistant - Physician Assistant
License number
5601004099
Date granted
07/07/2003
Date expires
08/31/2016
Class
Physician's Assistant - Physician Assistant
Status
Active
Address
Grand Rapids, MI 49525
michiganlicensing.org
ID 25996543
LAST UPDATED 2024-02-16 14:35:38 UTC

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