KRISTEN ELIZABETH SLACK - Physician Assistant License in Michigan | # 085005313

KRISTEN ELIZABETH SLACK

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005313

License Status

NOT RENEWED

Business

N

First Name

KRISTEN

Middle

ELIZABETH

Last Name

SLACK

Business Name

KRISTEN ELIZABETH SLACK

Original Issue Date

10/14/2014

Effective Date

10/14/2014

Expiration Date

03/01/2016

State

MI

Ever Disciplined

N

LastModifiedDate

04/25/2016