Lisa Ann DeStefano
ActiveMichigan license 5101012158
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- 5101012158
- Status
- Active
- First issued
- June 27, 1994
- Expires
- June 27, 2028
- License holder
- Lisa Ann DeStefano
- Entity type
- Individual
Classifications
- Osteopathic Physician Physicians & Surgeons