Michigan
Department of Licensing and Regulation
TIFFANY PONG
Physician's Assistant - Physician Assistant
License number
5601006611
Date granted
02/07/2013
Date expires
08/31/2013
Class
Physician's Assistant - Physician Assistant
Status
Lapsed
Address
Sterling Heights, MI 48313
michiganlicensing.org
ID 25994907
LAST UPDATED 2024-03-22 08:11:29 UTC
LAST UPDATED 2024-03-22 08:11:29 UTC
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