MYKALA PARIS SUPPLICE - Physician Assistant License in Michigan | # 085010120

MYKALA PARIS SUPPLICE

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085010120

License Status

NOT RENEWED

Business

N

First Name

MYKALA

Middle

PARIS

Last Name

SUPPLICE

Business Name

MYKALA PARIS SUPPLICE

Original Issue Date

10/06/2023

Effective Date

10/06/2023

Expiration Date

03/01/2024

State

MI

Ever Disciplined

N

LastModifiedDate

02/05/2025