Derek Allen Susalla
ActiveMichigan license 5601008192
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- 5601008192
- Status
- Active
- First issued
- June 20, 2017
- Expires
- June 20, 2028
- License holder
- Derek Allen Susalla
- Entity type
- Individual
Classifications
- Physicians Assistant Physicians & Surgeons