Shannon Kay Forman

License

Licensed by

Michigan Department of Licensing and Regulatory Affairs

License number

2902014307

Status

Active

First issued

July 20, 2005

Expires

July 20, 2028

License holder

Shannon Kay Forman

Entity type

Individual

Classifications

• Dental Hygienist (Dentistry) Dental

More from the license record

Specialties

Local Anesthesia

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