License holder summary

UDOFOT PHILIP NTIA is a Physician's Assistant - Physician Assistant licensed to practice in Michigan. The address on file for UDOFOT PHILIP NTIA is Palm Springs, CA 92264. This licensed professional license is not current. The license was granted 02/03/1997 and expired on 08/31/2005.

Michigan

Department of Licensing and Regulation

UDOFOT PHILIP NTIA
Physician's Assistant - Physician Assistant
License number
5601002644
Date granted
02/03/1997
Date expires
08/31/2005
Class
Physician's Assistant - Physician Assistant
Status
Lapsed
Address
Palm Springs, CA 92264
michiganlicensing.org
ID 25994447
LAST UPDATED 2026-05-30 12:44:08 UTC

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