License holder summary

TARA LYNN BLANK is a Physician's Assistant - Physician Assistant Temporary licensed to practice in Michigan. The address on file for TARA LYNN BLANK is Sandusky, MI 48471. This licensed professional license is not current. The license was granted 07/30/2001 and expired on 01/30/2003.

Michigan

Department of Licensing and Regulation

TARA LYNN BLANK
Physician's Assistant - Physician Assistant Temporary
License number
5601003675
Date granted
07/30/2001
Date expires
01/30/2003
Class
Physician's Assistant - Physician Assistant Temporary
Status
Voided
Address
Sandusky, MI 48471
michiganlicensing.org
ID 25997257
LAST UPDATED 2024-03-31 19:29:07 UTC

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