Lydia Kathleen Bolen
ActiveMichigan license 5601004004
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- 5601004004
- Status
- Active
- First issued
- October 21, 2002
- Expires
- October 21, 2028
- License holder
- Lydia Kathleen Bolen
- Entity type
- Individual
Classifications
- Physicians Assistant Physicians & Surgeons
Contact
1900 Wealthy ST SE
Ste 300
Grand Rapids, MI 49506
Ste 300
Grand Rapids, MI 49506
Kent County