License holder summary

KELLY ANN BANNASCH is a Physicians Assistants - Physician Assistant licensed to practice in Michigan. This medical licensee license is not current. The license was granted 12/22/1994 and expired on 08/31/2013.

Department of Licensing and Regulatory Affairs

Board of Medicine

KELLY ANN BANNASCH
Physicians Assistants - Physician Assistant
License number
5601002420
Date granted
12/22/1994
Date expires
08/31/2013
Class
Physicians Assistants - Physician Assistant
Status
Lapsed
Address
michiganmedical.net
ID 39305715
LAST UPDATED 2024-03-05 05:55:25 UTC

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