License holder summary

NICOLE LYNN ROTH is a Physician's Assistant - Physician Assistant licensed to practice in Michigan. The address on file for NICOLE LYNN ROTH is Negaunee, MI 49866. This licensed professional license is current. The license was granted 09/07/2012 and expired on 08/31/2015.

Michigan

Department of Licensing and Regulation

NICOLE LYNN ROTH
Physician's Assistant - Physician Assistant
License number
5601006425
Date granted
09/07/2012
Date expires
08/31/2015
Class
Physician's Assistant - Physician Assistant
Status
Active
Address
Negaunee, MI 49866
michiganlicensing.org
ID 25995307
LAST UPDATED 2024-03-20 22:28:31 UTC

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