Michigan
Department of Licensing and Regulation
KIPP EDWARD RUSTENHOLTZ
Physician's Assistant - Physician Assistant
License number
5601005344
Date granted
10/01/2008
Date expires
08/31/2015
Class
Physician's Assistant - Physician Assistant
Status
Active
Address
Haslett, MI 48840
michiganlicensing.org
ID 25995352
LAST UPDATED 2024-02-10 10:37:03 UTC
LAST UPDATED 2024-02-10 10:37:03 UTC
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