License holder summary

DIANE M VISICH is a Physicians Assistants - Physician Assistant licensed to practice in Michigan. This medical licensee license is not current. The license was granted 01/12/2000 and expired on 08/31/2012.

Department of Licensing and Regulatory Affairs

Board of Medicine

DIANE M VISICH
Physicians Assistants - Physician Assistant
License number
5601003226
Date granted
01/12/2000
Date expires
08/31/2012
Class
Physicians Assistants - Physician Assistant
Status
Lapsed
Address
michiganmedical.net
ID 39311973
LAST UPDATED 2024-03-23 07:12:20 UTC

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