License holder summary

NICOLE ANNE-MICHELLE MOUNDROS is a Physicians Assistants - Physician Assistant licensed to practice in Michigan. This medical licensee license is current. The license was granted 10/11/2005 and expired on 08/31/2017.

Department of Licensing and Regulatory Affairs

Board of Medicine

NICOLE ANNE-MICHELLE MOUNDROS
Physicians Assistants - Physician Assistant
License number
5601004593
Date granted
10/11/2005
Date expires
08/31/2017
Class
Physicians Assistants - Physician Assistant
Status
Active
Address
michiganmedical.net
ID 39309785
LAST UPDATED 2024-03-08 17:40:29 UTC

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