Michigan
Department of Licensing and Regulation
TAMARA KAY GRAVELLE
Physician's Assistant - Physician Assistant Temporary
License number
5601005139
Date granted
09/05/2007
Date expires
03/05/2009
Class
Physician's Assistant - Physician Assistant Temporary
Status
Voided
Address
Brighton, MI 48114
michiganlicensing.org
ID 25998489
LAST UPDATED 2026-06-04 21:22:06 UTC
LAST UPDATED 2026-06-04 21:22:06 UTC
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