License holder summary

WALTER BRIAN FORMAN is a Medicine - Medical Doctor licensed to practice in Michigan.

Department of Licensing and Regulatory Affairs

Board of Medicine

WALTER BRIAN FORMAN
Medicine - Medical Doctor
License number
4301026013
Date expires
01/31/2011
Class
Medicine - Medical Doctor
Status
Lapsed
Address
michiganmedical.net
ID 38933018
LAST UPDATED 2024-04-04 18:18:03 UTC

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