License holder summary

NISHA KIMBERLY MCKENZIE is a Physician's Assistant - Physician Assistant Temporary licensed to practice in Michigan. The address on file for NISHA KIMBERLY MCKENZIE is Grand Rapids, MI 49504. This licensed professional license is not current. The license was granted 08/23/2002 and expired on 02/23/2004.

Michigan

Department of Licensing and Regulation

NISHA KIMBERLY MCKENZIE
Physician's Assistant - Physician Assistant Temporary
License number
5601003946
Date granted
08/23/2002
Date expires
02/23/2004
Class
Physician's Assistant - Physician Assistant Temporary
Status
Voided
Address
Grand Rapids, MI 49504
michiganlicensing.org
ID 25999835
LAST UPDATED 2026-03-23 04:09:51 UTC

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