Alaska
Division of Corporations, Business and Professional Licensing
MICHAEL LACY HANSEN
Physician Assistants - Licensed Physician Assistant
License number
220
Date granted
04/10/1990
Date expires
12/31/2014
Class
Physician Assistants - Licensed Physician Assistant
Status
Licensed
Address
5971 E 162ND AVENUE ANCHORAGE AK 99516
alaskalicensing.com
ID 20413885
LAST UPDATED 2024-02-29 13:18:41 UTC
LAST UPDATED 2024-02-29 13:18:41 UTC
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