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 2024-02-25 00:07:52 UTC
LAST UPDATED 2024-02-25 00:07:52 UTC
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