Jeremiah Bacalso Ducusin
ActiveMichigan license 5601010924
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- 5601010924
- Status
- Active
- First issued
- December 2, 2021
- Expires
- December 2, 2028
- License holder
- Jeremiah Bacalso Ducusin
- Entity type
- Individual
Classifications
- Physicians Assistant Physicians & Surgeons