Mary Anne Miceli
ActiveMichigan license 5601003648
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- 5601003648
- Status
- Active
- First issued
- June 18, 2001
- Expires
- June 18, 2028
- License holder
- Mary Anne Miceli
- Entity type
- Individual
Classifications
- Physicians Assistant Physicians & Surgeons