License Directory

Gary John Theisen

Active

Michigan license 4301051063

License

Licensed by
Michigan Department of Licensing and Regulatory Affairs
License number
4301051063
Status
Active
First issued
April 22, 1987
Expires
April 22, 2027
License holder
Gary John Theisen
Entity type
Individual

Classifications

Contact

Kalamazoo Anesthesiology, PC
900 Peeler Street
Kalamazoo, MI 49008
Kalamazoo County