License holder summary

AUDREY MARIE VIZZACCARO is a Physicians Assistants - Physician Assistant licensed to practice in Michigan. This medical licensee license is current. The license was granted 03/22/1999 and expired on 08/31/2017.

Department of Licensing and Regulatory Affairs

Board of Medicine

AUDREY MARIE VIZZACCARO
Physicians Assistants - Physician Assistant
License number
5601003044
Date granted
03/22/1999
Date expires
08/31/2017
Class
Physicians Assistants - Physician Assistant
Status
Active
Address
michiganmedical.net
ID 39311981
LAST UPDATED 2026-05-04 01:27:36 UTC

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