Jacquelyn Nicole Prokop
ActiveMichigan license 5601007908
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- 5601007908
- Status
- Active
- First issued
- August 31, 2016
- Expires
- August 31, 2028
- License holder
- Jacquelyn Nicole Prokop
- Entity type
- Individual
Classifications
- Physicians Assistant Physicians & Surgeons