License holder summary

MICHAEL JEFFREY WAISANEN is a Physician's Assistant - Physician Assistant Temporary licensed to practice in Michigan. The address on file for MICHAEL JEFFREY WAISANEN is Berkley, MI 48072. This licensed professional license is not current. The license was granted 04/12/2013 and expired on 10/12/2014.

Michigan

Department of Licensing and Regulation

MICHAEL JEFFREY WAISANEN
Physician's Assistant - Physician Assistant Temporary
License number
5601006639
Date granted
04/12/2013
Date expires
10/12/2014
Class
Physician's Assistant - Physician Assistant Temporary
Status
Voided
Address
Berkley, MI 48072
michiganlicensing.org
ID 26001495
LAST UPDATED 2024-05-05 17:17:09 UTC

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