Kathryn Agnes Fahlstrom
ActiveMichigan license 5601006020
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- 5601006020
- Status
- Active
- First issued
- July 8, 2011
- Expires
- December 16, 2028
- License holder
- Kathryn Agnes Fahlstrom
- Entity type
- Individual
Classifications
- Physicians Assistant Physicians & Surgeons