License holder summary

MARK A BOOMERSHINE is a Physicians Assistants - Physician Assistant licensed to practice in Michigan. This medical licensee license is current. The license was granted 10/17/1983 and expired on 08/31/2018.

Department of Licensing and Regulatory Affairs

Board of Medicine

MARK A BOOMERSHINE
Physicians Assistants - Physician Assistant
License number
5601001393
Date granted
10/17/1983
Date expires
08/31/2018
Class
Physicians Assistants - Physician Assistant
Status
Active
Address
michiganmedical.net
ID 39306028
LAST UPDATED 2021-05-15 23:02:10 UTC

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