License holder summary

HEATHER LYNNE MATA is a Physicians Assistants - Physician Assistant licensed to practice in Michigan. This medical licensee license is not current. The license was granted 01/31/1997 and expired on 08/31/2013.

Department of Licensing and Regulatory Affairs

Board of Medicine

HEATHER LYNNE MATA
Physicians Assistants - Physician Assistant
License number
5601002771
Date granted
01/31/1997
Date expires
08/31/2013
Class
Physicians Assistants - Physician Assistant
Status
Lapsed
Address
michiganmedical.net
ID 39309386
LAST UPDATED 2024-03-30 11:42:15 UTC

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