License holder summary

KELLY MALIA PETERSON is a Physicians Assistants - Physician Assistant licensed to practice in Michigan. This medical licensee license is current. The license was granted 09/23/2014 and expired on 08/31/2017.

Department of Licensing and Regulatory Affairs

Board of Medicine

KELLY MALIA PETERSON
Physicians Assistants - Physician Assistant
License number
5601007197
Date granted
09/23/2014
Date expires
08/31/2017
Class
Physicians Assistants - Physician Assistant
Status
Active
Address
michiganmedical.net
ID 39310287
LAST UPDATED 2025-02-18 07:15:09 UTC

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