License holder summary

MELISSA ANN KOOISTRA is a Physician's Assistant - Physician Assistant licensed to practice in Michigan. The address on file for MELISSA ANN KOOISTRA is Caledonia, MI 49316. This licensed professional license is current. The license was granted 08/17/2004 and expired on 08/31/2015.

Michigan

Department of Licensing and Regulation

MELISSA ANN KOOISTRA
Physician's Assistant - Physician Assistant
License number
5601004250
Date granted
08/17/2004
Date expires
08/31/2015
Class
Physician's Assistant - Physician Assistant
Status
Active
Address
Caledonia, MI 49316
michiganlicensing.org
ID 25993507
LAST UPDATED 2024-02-10 06:48:22 UTC

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