License holder summary

Forman, Marjorie Lou is a Medicine And Surgery licensed to practice in Wisconsin. This doctor license is not current. The license was granted 09/15/1965 and expired on 12/31/1970.

Wisconsin

Department of Safety and Professional Services

Forman, Marjorie Lou
Medicine And Surgery
License number
15421-20
Date granted
09/15/1965
Date expires
12/31/1970
Class
Medicine And Surgery
Status
Expired
wisconsinmedicine.org
ID 35594669
LAST UPDATED 2024-04-27 05:14:00 UTC

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