License holder summary

LISA ANN FORMAN is a Veterinarian, Veterinary Technician - Veterinarian licensed to practice in Michigan. The address on file for LISA ANN FORMAN is Chicago, IL 60614. This licensed professional license is not current. The license was granted 10/09/1996 and expired on 12/31/2005.

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

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