MARK A BOOMERSHINE

Physician's Assistant - Physician Assistant

Michigan  5601001393   Active

This Michigan license is held by MARK A BOOMERSHINE. The license is currently active. It was granted on 10/17/1983 and expired on 08/31/2016

LICENSE DETAILS

  • License Number: 5601001393
  • Category: Physician Assistant
  • Status: Active
  • Date Granted: 10/17/1983 (over 41 years ago)
  • Expiry Date: 08/31/2016 (almost 9 years ago)

LOCATIONS

A Address

Lansing, MI 48911