License holder summary

ROBERTA R FORMAN is a Ems Personnel - Emt licensed to practice in Michigan. The address on file for ROBERTA R FORMAN is Evart, MI 49631. This licensed professional license is not current. The license was granted 12/01/1997 and expired on 11/30/2000.

Michigan

Department of Licensing and Regulation

ROBERTA R FORMAN
Ems Personnel - Emt
License number
3203000382
Date granted
12/01/1997
Date expires
11/30/2000
Class
Ems Personnel - Emt
Status
Lapsed
Address
Evart, MI 49631
michiganlicensing.org
ID 25680135
LAST UPDATED 2026-05-01 17:51:34 UTC

This website is unaffiliated with the Department of Licensing and Regulation. Please verify all information directly with the relevant official government authority.

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