Michigan
Department of Licensing and Regulation
LILLIAN LICEAGA QUAM
Physician's Assistant - Physician Assistant
License number
5601004699
Date granted
10/26/2005
Date expires
08/31/2016
Class
Physician's Assistant - Physician Assistant
Status
Active
Address
Andrews AFB, MD 20762
michiganlicensing.org
ID 25995010
LAST UPDATED 2024-03-06 18:23:14 UTC
LAST UPDATED 2024-03-06 18:23:14 UTC
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