License holder summary

SANDRA LYNN LODGE is a Physicians Assistants - Physician Assistant licensed to practice in Michigan. This medical licensee license is current. The license was granted 06/05/2001 and expired on 08/31/2016.

Department of Licensing and Regulatory Affairs

Board of Medicine

SANDRA LYNN LODGE
Physicians Assistants - Physician Assistant
License number
5601003636
Date granted
06/05/2001
Date expires
08/31/2016
Class
Physicians Assistants - Physician Assistant
Status
Active
Address
michiganmedical.net
ID 39309147
LAST UPDATED 2024-04-10 17:00:20 UTC

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