License holder summary

NICOLE ROSE KNISLEY is a Physician's Assistant - Physician Assistant Temporary licensed to practice in Michigan. The address on file for NICOLE ROSE KNISLEY is Livonia, MI 48154. This licensed professional license is not current. The license was granted 04/27/2011 and expired on 10/27/2012.

Michigan

Department of Licensing and Regulation

NICOLE ROSE KNISLEY
Physician's Assistant - Physician Assistant Temporary
License number
5601006025
Date granted
04/27/2011
Date expires
10/27/2012
Class
Physician's Assistant - Physician Assistant Temporary
Status
Voided
Address
Livonia, MI 48154
michiganlicensing.org
ID 25999297
LAST UPDATED 2024-02-28 05:08:59 UTC

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