License holder summary

TRACEY LYNN MCCULLOUGH is a Physician's Assistant - Physician Assistant Temporary licensed to practice in Michigan. The address on file for TRACEY LYNN MCCULLOUGH is Norton Shores, MI 49441. This licensed professional license is not current. The license was granted 10/12/2005 and expired on 04/12/2007.

Michigan

Department of Licensing and Regulation

TRACEY LYNN MCCULLOUGH
Physician's Assistant - Physician Assistant Temporary
License number
5601004691
Date granted
10/12/2005
Date expires
04/12/2007
Class
Physician's Assistant - Physician Assistant Temporary
Status
Voided
Address
Norton Shores, MI 49441
michiganlicensing.org
ID 25999815
LAST UPDATED 2026-05-12 16:09:18 UTC

This website is unaffiliated with the Department of Licensing and Regulation. Please verify all information directly with the relevant official government authority.

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