License holder summary

REGINA ROSE KOORNDYK is a Physician's Assistant - Physician Assistant Temporary licensed to practice in Michigan. The address on file for REGINA ROSE KOORNDYK is Grand Rapids, MI 49546. This licensed professional license is not current. The license was granted 05/10/2005 and expired on 11/10/2006.

Michigan

Department of Licensing and Regulation

REGINA ROSE KOORNDYK
Physician's Assistant - Physician Assistant Temporary
License number
5601004505
Date granted
05/10/2005
Date expires
11/10/2006
Class
Physician's Assistant - Physician Assistant Temporary
Status
Voided
Address
Grand Rapids, MI 49546
michiganlicensing.org
ID 25999345
LAST UPDATED 2026-03-21 15:53:33 UTC

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