Kevin Jon Wiersum
ActiveMichigan license 5601004099
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- 5601004099
- Status
- Active
- First issued
- July 7, 2003
- Expires
- July 7, 2028
- License holder
- Kevin Jon Wiersum
- Entity type
- Individual
Classifications
- Physicians Assistant Physicians & Surgeons