Michigan
Department of Licensing and Regulation
MATTHEW ANTHONY LARSEN
Physician's Assistant - Physician Assistant Temporary
License number
5601005508
Date granted
05/14/2009
Date expires
11/14/2010
Class
Physician's Assistant - Physician Assistant Temporary
Status
Voided
Address
Grand Rapids, MI 49534
michiganlicensing.org
ID 25999498
LAST UPDATED 2026-05-27 21:55:20 UTC
LAST UPDATED 2026-05-27 21:55:20 UTC
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