License holder summary

CAROLYN MARIE WIESE is a Physicians Assistants - Physician Assistant licensed to practice in Michigan. This medical licensee license is not current. The license was granted 11/08/2001 and expired on 08/31/2006.

Department of Licensing and Regulatory Affairs

Board of Medicine

CAROLYN MARIE WIESE
Physicians Assistants - Physician Assistant
License number
5601003704
Date granted
11/08/2001
Date expires
08/31/2006
Class
Physicians Assistants - Physician Assistant
Status
Lapsed
Address
michiganmedical.net
ID 39312216
LAST UPDATED 2024-02-14 13:50:01 UTC

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