License holder summary

NICOLE ANNE-MICHELLE MOUNDROS is a Physician's Assistant - Physician Assistant Temporary licensed to practice in Michigan. The address on file for NICOLE ANNE-MICHELLE MOUNDROS is Lake Odessa, MI 48849. This licensed professional license is not current. The license was granted 07/29/2005 and expired on 01/29/2007.

Michigan

Department of Licensing and Regulation

NICOLE ANNE-MICHELLE MOUNDROS
Physician's Assistant - Physician Assistant Temporary
License number
5601004593
Date granted
07/29/2005
Date expires
01/29/2007
Class
Physician's Assistant - Physician Assistant Temporary
Status
Voided
Address
Lake Odessa, MI 48849
michiganlicensing.org
ID 25999991
LAST UPDATED 2026-03-18 10:23:31 UTC

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