License holder summary

TARA LYNN BLANK is a Physicians Assistants - Physician Assistant licensed to practice in Michigan. This medical licensee license is current. The license was granted 01/24/2002 and expired on 08/31/2016.

Department of Licensing and Regulatory Affairs

Board of Medicine

TARA LYNN BLANK
Physicians Assistants - Physician Assistant
License number
5601003675
Date granted
01/24/2002
Date expires
08/31/2016
Class
Physicians Assistants - Physician Assistant
Status
Active
Address
michiganmedical.net
ID 39305963
LAST UPDATED 2026-05-22 02:21:54 UTC

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