License holder summary

JUDITH LYNN WAGENSOMER is a Physicians Assistants - Physician Assistant licensed to practice in Michigan. This medical licensee license is current. The license was granted 08/09/1991 and expired on 08/31/2018.

Department of Licensing and Regulatory Affairs

Board of Medicine

JUDITH LYNN WAGENSOMER
Physicians Assistants - Physician Assistant
License number
5601002034
Date granted
08/09/1991
Date expires
08/31/2018
Class
Physicians Assistants - Physician Assistant
Status
Active
Address
michiganmedical.net
ID 39312010
LAST UPDATED 2024-02-21 09:23:59 UTC

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