License holder summary

KELLY JEAN LUPO is a Physicians Assistants - Physician Assistant licensed to practice in Michigan. This medical licensee license is current. The license was granted 10/03/2000 and expired on 08/31/2017.

Department of Licensing and Regulatory Affairs

Board of Medicine

KELLY JEAN LUPO
Physicians Assistants - Physician Assistant
License number
5601003533
Date granted
10/03/2000
Date expires
08/31/2017
Class
Physicians Assistants - Physician Assistant
Status
Active
Address
michiganmedical.net
ID 39309221
LAST UPDATED 2021-08-22 20:08:42 UTC

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