License holder summary

KELLY JEAN WALWORTH is a Physicians Assistants - Physician Assistant licensed to practice in Michigan. This medical licensee license is not current. The license was granted 03/10/2003 and expired on 08/31/2005.

Department of Licensing and Regulatory Affairs

Board of Medicine

KELLY JEAN WALWORTH
Physicians Assistants - Physician Assistant
License number
5601004026
Date granted
03/10/2003
Date expires
08/31/2005
Class
Physicians Assistants - Physician Assistant
Status
Lapsed
Address
michiganmedical.net
ID 39312056
LAST UPDATED 2025-01-25 10:35:43 UTC

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