License holder summary

LISA LIANE DIMODICA is a Physicians Assistants - Physician Assistant licensed to practice in Michigan. This medical licensee license is not current. The license was granted 01/20/1999 and expired on 08/31/2005.

Department of Licensing and Regulatory Affairs

Board of Medicine

LISA LIANE DIMODICA
Physicians Assistants - Physician Assistant
License number
5601003098
Date granted
01/20/1999
Date expires
08/31/2005
Class
Physicians Assistants - Physician Assistant
Status
Lapsed
Address
michiganmedical.net
ID 39306913
LAST UPDATED 2024-04-06 23:55:35 UTC

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