License holder summary

TIMOTHY JOHN CRISCUOLO is a Physician's Assistant - Physician Assistant licensed to practice in Michigan. The address on file for TIMOTHY JOHN CRISCUOLO is Otsego, MI 49078. This licensed professional license is not current. The license was granted 01/10/1996 and expired on 08/31/2000.

Michigan

Department of Licensing and Regulation

TIMOTHY JOHN CRISCUOLO
Physician's Assistant - Physician Assistant
License number
5601002564
Date granted
01/10/1996
Date expires
08/31/2000
Class
Physician's Assistant - Physician Assistant
Status
Lapsed
Address
Otsego, MI 49078
michiganlicensing.org
ID 25991395
LAST UPDATED 2026-04-16 20:57:53 UTC

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