Michigan
Department of Licensing and Regulation
SANDRA LYNN LODGE
Physician's Assistant - Physician Assistant
License number
5601003636
Date granted
06/05/2001
Date expires
08/31/2016
Class
Physician's Assistant - Physician Assistant
Status
Active
Address
Allen Park, MI 48101
michiganlicensing.org
ID 25993850
LAST UPDATED 2024-05-15 16:15:20 UTC
LAST UPDATED 2024-05-15 16:15:20 UTC
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