License Directory

Elizabeth Ann Mellencamp

Active

Michigan license 4301516763

License

Licensed by
Michigan Department of Licensing and Regulatory Affairs
License number
4301516763
Status
Active
First issued
March 23, 2026
Expires
March 23, 2029
License holder
Elizabeth Ann Mellencamp
Entity type
Individual

Classifications

Contact

1000 Wall Street
RM #714 Kellogg Eye Center
Ann Arbor, MI 48105
Washtenaw County