TINCY MARY OOMMEN - Physician Assistant License in Michigan | # 085007491

TINCY MARY OOMMEN

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007491

License Status

NOT RENEWED

Business

N

First Name

TINCY

Middle

MARY

Last Name

OOMMEN

Business Name

TINCY MARY OOMMEN

Original Issue Date

01/15/2020

Effective Date

01/15/2020

Expiration Date

03/01/2022

State

MI

Ever Disciplined

N

LastModifiedDate

07/27/2022