Regina Rose Koorndyk
ActiveMichigan license 5601004505
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- 5601004505
- Status
- Active
- First issued
- May 23, 2005
- Expires
- May 23, 2028
- License holder
- Regina Rose Koorndyk
- Entity type
- Individual
Classifications
- Physicians Assistant Physicians & Surgeons
Contact
4100 Lake Dr SE
Suite 200
Grand Rapids, MI 49546
Suite 200
Grand Rapids, MI 49546
Kent County