License holder summary

SCOTT R DERENNE is a Physician's Assistant - Physician Assistant licensed to practice in Michigan. The address on file for SCOTT R DERENNE is Sturgeon Bay, WI 54235. This licensed professional license is current. The license was granted 08/23/2000 and expired on 08/31/2015.

Michigan

Department of Licensing and Regulation

SCOTT R DERENNE
Physician's Assistant - Physician Assistant
License number
5601003466
Date granted
08/23/2000
Date expires
08/31/2015
Class
Physician's Assistant - Physician Assistant
Status
Active
Address
Sturgeon Bay, WI 54235
michiganlicensing.org
ID 25991593
LAST UPDATED 2026-04-27 00:17:49 UTC

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