Michigan
Department of Licensing and Regulation
LANCE LINCOLN PRIDE
Physician's Assistant - Physician Assistant Temporary
License number
5601006118
Date granted
08/22/2011
Date expires
02/22/2013
Class
Physician's Assistant - Physician Assistant Temporary
Status
Voided
Address
Otsego, MI 49078
michiganlicensing.org
ID 26000495
LAST UPDATED 2024-04-13 09:15:36 UTC
LAST UPDATED 2024-04-13 09:15:36 UTC
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