Michigan
Department of Licensing and Regulation
KAREN MARY FORMAN
Ems Personnel - Emt
License number
3203009986
Date granted
08/31/2000
Date expires
08/31/2006
Class
Ems Personnel - Emt
Status
Lapsed
Address
Melvindale, MI 48122
michiganlicensing.org
ID 25680134
LAST UPDATED 2024-03-01 20:19:54 UTC
LAST UPDATED 2024-03-01 20:19:54 UTC
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