Chantelle Tanya Koch
ActiveMichigan license 5601008328
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- 5601008328
- Status
- Active
- First issued
- September 8, 2017
- Expires
- September 8, 2029
- License holder
- Chantelle Tanya Koch
- Entity type
- Individual
Classifications
- Physicians Assistant Physicians & Surgeons
Contact
145 Michigan St NE STE 5500
Grand Rapids, MI 49503
Grand Rapids, MI 49503
Kent County