Grace C Cupp
ActiveMichigan license 5601009551
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- 5601009551
- Status
- Active
- First issued
- September 10, 2019
- Expires
- September 10, 2028
- License holder
- Grace C Cupp
- Entity type
- Individual
Classifications
- Physicians Assistant Physicians & Surgeons
Contact
100 Michigan St. NE
Mc 127
Grand Rapids, MI 49503
Mc 127
Grand Rapids, MI 49503
Kent County