Michigan
Department of Licensing and Regulation
THERESA JEANETTE RICHARDSON
Physician's Assistant - Physician Assistant Temporary
License number
5601006158
Date granted
09/07/2011
Date expires
03/07/2013
Class
Physician's Assistant - Physician Assistant Temporary
Status
Voided
Address
Saint Clair Shores, MI 48082
michiganlicensing.org
ID 26000647
LAST UPDATED 2024-02-24 02:58:13 UTC
LAST UPDATED 2024-02-24 02:58:13 UTC
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