Michigan
Department of Licensing and Regulation
STACEY LYNN PRANTERA
Physician's Assistant - Physician Assistant
License number
5601004380
Date granted
09/17/2004
Date expires
08/31/2015
Class
Physician's Assistant - Physician Assistant
Status
Active
Address
Plymouth, MI 48170
michiganlicensing.org
ID 25994944
LAST UPDATED 2024-04-16 19:32:06 UTC
LAST UPDATED 2024-04-16 19:32:06 UTC
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