License holder summary

TARA LYN MONTGOMERY is a Physician's Assistant - Physician Assistant Temporary licensed to practice in Michigan. The address on file for TARA LYN MONTGOMERY is Quincy, MI 49082. This licensed professional license is not current. The license was granted 08/23/2005 and expired on 02/23/2007.

Michigan

Department of Licensing and Regulation

TARA LYN MONTGOMERY
Physician's Assistant - Physician Assistant Temporary
License number
5601004621
Date granted
08/23/2005
Date expires
02/23/2007
Class
Physician's Assistant - Physician Assistant Temporary
Status
Voided
Address
Quincy, MI 49082
michiganlicensing.org
ID 25999967
LAST UPDATED 2024-05-08 10:40:03 UTC

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