License holder summary

UDOFOT PHILIP NTIA is a Physicians Assistants - Physician Assistant licensed to practice in Michigan. This medical licensee license is not current. The license was granted 02/03/1997 and expired on 08/31/2005.

Department of Licensing and Regulatory Affairs

Board of Medicine

UDOFOT PHILIP NTIA
Physicians Assistants - Physician Assistant
License number
5601002644
Date granted
02/03/1997
Date expires
08/31/2005
Class
Physicians Assistants - Physician Assistant
Status
Lapsed
Address
michiganmedical.net
ID 39310032
LAST UPDATED 2024-04-13 22:40:50 UTC

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