Michigan
Department of Licensing and Regulation
MARISA ELIZABETH WORTLEY
Physician's Assistant - Physician Assistant Temporary
License number
5601006014
Date granted
04/20/2011
Date expires
10/20/2012
Class
Physician's Assistant - Physician Assistant Temporary
Status
Voided
Address
Haslett, MI 48840
michiganlicensing.org
ID 26001747
LAST UPDATED 2024-05-06 11:11:29 UTC
LAST UPDATED 2024-05-06 11:11:29 UTC
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