License holder summary

ANN E SOUKUP is a Physicians Assistants - Physician Assistant licensed to practice in Michigan. This medical licensee license is not current. The license was granted 09/29/1983 and expired on 08/31/2014.

Department of Licensing and Regulatory Affairs

Board of Medicine

ANN E SOUKUP
Physicians Assistants - Physician Assistant
License number
5601001432
Date granted
09/29/1983
Date expires
08/31/2014
Class
Physicians Assistants - Physician Assistant
Status
Lapsed
Address
michiganmedical.net
ID 39311305
LAST UPDATED 2021-11-23 12:13:26 UTC

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