Brent Gordon Whittaker
ActiveMichigan license 4301088448
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- 4301088448
- Status
- Active
- First issued
- May 8, 2013
- Expires
- May 8, 2029
- License holder
- Brent Gordon Whittaker
- Entity type
- Individual
Classifications
- Medical Doctor (Medicine) Physicians & Surgeons
Contact
100 Michigan St. NE
Mc 117
Grand Rapids, MI 49503
Mc 117
Grand Rapids, MI 49503
Kent County