OPAL K DAVIS KOOKOOTH
Nursing at Valleywood Dr, Grand Rapids, MI

License number
Florida 82043
Issued Date
Feb 25, 1994
Effective Date
Jan 15, 2013
Expiration Date
Dec 31, 2010
Category
Health Care
Type
Certified Nursing Assistant
Address
Address
2211 SouthEast Valleywood Dr SE APT E-2, Grand Rapids, MI 49546