Lora Rose Hansen
ActiveMichigan license 5601007082
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- 5601007082
- Status
- Active
- First issued
- September 9, 2014
- Expires
- September 9, 2028
- License holder
- Lora Rose Hansen
- Entity type
- Individual
Classifications
- Physicians Assistant Physicians & Surgeons
Contact
7751 Byron Center Ave SW
Ste C
Grand Rapids, MI 49315
Ste C
Grand Rapids, MI 49315
Montcalm County