License holder summary

TIMOTHY MARK CARLISLE is a Physician's Assistant - Physician Assistant Temporary licensed to practice in Michigan. The address on file for TIMOTHY MARK CARLISLE is Ceresco, MI 49033. This licensed professional license is not current. The license was granted 08/22/2006 and expired on 02/22/2008.

Michigan

Department of Licensing and Regulation

TIMOTHY MARK CARLISLE
Physician's Assistant - Physician Assistant Temporary
License number
5601004857
Date granted
08/22/2006
Date expires
02/22/2008
Class
Physician's Assistant - Physician Assistant Temporary
Status
Voided
Address
Ceresco, MI 49033
michiganlicensing.org
ID 25997466
LAST UPDATED 2026-04-28 20:45:26 UTC

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