Ethan J LaCourt
ActiveMichigan license 5601010844
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- 5601010844
- Status
- Active
- First issued
- October 14, 2021
- Expires
- October 14, 2028
- License holder
- Ethan J LaCourt
- Entity type
- Individual
Classifications
- Physicians Assistant Physicians & Surgeons