Shauna M Northup
ActiveMichigan license 5151016008
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- 5151016008
- Status
- Active
- First issued
- May 26, 2023
- Expires
- June 30, 2027
- License holder
- Shauna M Northup
- Entity type
- Individual
Classifications
- Osteopathic Physician Ed Ltd Physicians & Surgeons