License holder summary

NICOLE LEIGH DERRICK is a Physician's Assistant - Physician Assistant licensed to practice in Michigan. The address on file for NICOLE LEIGH DERRICK is Royal Oak, MI 48073. This licensed professional license is current. The license was granted 09/20/2002 and expired on 08/31/2015.

Michigan

Department of Licensing and Regulation

NICOLE LEIGH DERRICK
Physician's Assistant - Physician Assistant
License number
5601003849
Date granted
09/20/2002
Date expires
08/31/2015
Class
Physician's Assistant - Physician Assistant
Status
Active
Address
Royal Oak, MI 48073
michiganlicensing.org
ID 25991604
LAST UPDATED 2024-03-18 15:12:51 UTC

This website is unaffiliated with the Department of Licensing and Regulation. Please verify all information directly with the relevant official government authority.

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