Andre Lane Pride
ActiveMichigan license 5601006117
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- 5601006117
- Status
- Active
- First issued
- September 20, 2011
- Expires
- September 20, 2027
- License holder
- Andre Lane Pride
- Entity type
- Individual
Classifications
- Physicians Assistant Physicians & Surgeons