Michigan
Department of Licensing and Regulation
LISA ANN FORMAN
Veterinarian, Veterinary Technician - Veterinarian
License number
6901007961
Date granted
10/09/1996
Date expires
12/31/2005
Class
Veterinarian, Veterinary Technician - Veterinarian
Status
Lapsed
Address
Chicago, IL 60614
michiganlicensing.org
ID 26071669
LAST UPDATED 2024-03-16 17:54:06 UTC
LAST UPDATED 2024-03-16 17:54:06 UTC
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