License holder summary

SUZANNE NICOLE FORMAN is a Osteopathic Medicine & Surgery - Osteopathic Educational Limited licensed to practice in Michigan. This medical licensee license is current. The license was granted 03/31/2015 and expired on 06/30/2017.

Department of Licensing and Regulatory Affairs

Board of Medicine

SUZANNE NICOLE FORMAN
Osteopathic Medicine & Surgery - Osteopathic Educational Limited
License number
5101021521
Date granted
03/31/2015
Date expires
06/30/2017
Class
Osteopathic Medicine & Surgery - Osteopathic Educational Limited
Status
Active
Address
michiganmedical.net
ID 39118572
LAST UPDATED 2024-03-12 07:54:16 UTC

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