License holder summary

TRICIA JEANNE STORTEBOOM is a Physician's Assistant - Physician Assistant Temporary licensed to practice in Michigan. The address on file for TRICIA JEANNE STORTEBOOM is Grand Rapids, MI 49506. This licensed professional license is not current. The license was granted 09/05/2001 and expired on 03/05/2003.

Michigan

Department of Licensing and Regulation

TRICIA JEANNE STORTEBOOM
Physician's Assistant - Physician Assistant Temporary
License number
5601003713
Date granted
09/05/2001
Date expires
03/05/2003
Class
Physician's Assistant - Physician Assistant Temporary
Status
Lapsed
Address
Grand Rapids, MI 49506
michiganlicensing.org
ID 26001071
LAST UPDATED 2026-06-01 16:10:01 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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