License holder summary

NICOLE MARIE MALLORY is a Physician's Assistant - Physician Assistant licensed to practice in Michigan. The address on file for NICOLE MARIE MALLORY is Tipton, MI 49287. This licensed professional license is current. The license was granted 05/01/2000 and expired on 08/31/2016.

Michigan

Department of Licensing and Regulation

NICOLE MARIE MALLORY
Physician's Assistant - Physician Assistant
License number
5601003330
Date granted
05/01/2000
Date expires
08/31/2016
Class
Physician's Assistant - Physician Assistant
Status
Active
Address
Tipton, MI 49287
michiganlicensing.org
ID 25993969
LAST UPDATED 2026-04-30 18:45:49 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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