License holder summary

PHYLLIS JEAN LA FORGE is a Nursing Home Administrator - Nursing Home Administrator licensed to practice in Michigan. The address on file for PHYLLIS JEAN LA FORGE is Otsego, MI 49078. This licensed professional license is not current. The license was granted 01/29/1997 and expired on 10/31/1999.

Michigan

Department of Licensing and Regulation

PHYLLIS JEAN LA FORGE
Nursing Home Administrator - Nursing Home Administrator
License number
4801004028
Date granted
01/29/1997
Date expires
10/31/1999
Class
Nursing Home Administrator - Nursing Home Administrator
Status
Lapsed
Address
Otsego, MI 49078
michiganlicensing.org
ID 25865702
LAST UPDATED 2024-04-11 20:52:24 UTC

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