Michigan
Department of Licensing and Regulation
MATTHEW ALLEN STACK
Physician's Assistant - Physician Assistant Temporary
License number
5601003961
Date granted
09/04/2002
Date expires
03/04/2004
Class
Physician's Assistant - Physician Assistant Temporary
Status
Voided
Address
Alma, MI 48801
michiganlicensing.org
ID 26001022
LAST UPDATED 2024-05-11 10:43:39 UTC
LAST UPDATED 2024-05-11 10:43:39 UTC
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