License holder summary

STEPHANIE ELAINE FANGMAN is a Physicians Assistants - Physician Assistant licensed to practice in Michigan. This medical licensee license is not current. The license was granted 07/10/2012 and expired on 08/31/2015.

Department of Licensing and Regulatory Affairs

Board of Medicine

STEPHANIE ELAINE FANGMAN
Physicians Assistants - Physician Assistant
License number
5601006398
Date granted
07/10/2012
Date expires
08/31/2015
Class
Physicians Assistants - Physician Assistant
Status
Lapsed
Address
michiganmedical.net
ID 39307171
LAST UPDATED 2024-02-18 02:59:38 UTC

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