License holder summary

ZACHARY RYAN GUSTAVISON is a Physician's Assistant - Physician Assistant licensed to practice in Michigan. The address on file for ZACHARY RYAN GUSTAVISON is Mount Vernon, IL 62864. This licensed professional license is current. The license was granted 06/12/2008 and expired on 08/31/2015.

Michigan

Department of Licensing and Regulation

ZACHARY RYAN GUSTAVISON
Physician's Assistant - Physician Assistant
License number
5601005286
Date granted
06/12/2008
Date expires
08/31/2015
Class
Physician's Assistant - Physician Assistant
Status
Active
Address
Mount Vernon, IL 62864
michiganlicensing.org
ID 25992602
LAST UPDATED 2026-03-11 13:28:52 UTC

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