Holly Shayne Welz Gustafson
ActiveMichigan license 5601004148
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- 5601004148
- Status
- Active
- First issued
- October 10, 2003
- Expires
- October 10, 2027
- License holder
- Holly Shayne Welz Gustafson
- Entity type
- Individual
Classifications
- Physicians Assistant Physicians & Surgeons