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 2025-03-13 04:21:57 UTC
LAST UPDATED 2025-03-13 04:21:57 UTC
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