Michigan
Department of Licensing and Regulation
LISA WAGNER FORREST
Medical Doctor (Md) - Medical Doctor
License number
4301057603
Date granted
04/23/1991
Date expires
01/31/2016
Class
Medical Doctor (Md) - Medical Doctor
Status
Active
Address
Kalamazoo, MI 49007
michiganlicensing.org
ID 25799787
LAST UPDATED 2024-02-23 08:14:03 UTC
LAST UPDATED 2024-02-23 08:14:03 UTC
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