License holder summary

MAEGEN MARIE MANDEVILLE is a Physicians Assistants - Physician Assistant Temporary licensed to practice in Michigan. This medical licensee license is current. The license was granted 05/27/2016 and expired on 11/27/2017.

Department of Licensing and Regulatory Affairs

Board of Medicine

MAEGEN MARIE MANDEVILLE
Physicians Assistants - Physician Assistant Temporary
License number
5601007801
Date granted
05/27/2016
Date expires
11/27/2017
Class
Physicians Assistants - Physician Assistant Temporary
Status
Active
Address
michiganmedical.net
ID 39314713
LAST UPDATED 2024-04-05 07:04:18 UTC

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