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
LAST UPDATED 2024-05-08 10:40:03 UTC
This website is unaffiliated with the Department of Licensing and Regulation. Please verify all information directly with the relevant official government authority.