License Directory

Lisa Diane Stagner

Active

Michigan license 5101012063

License

Licensed by
Michigan Department of Licensing and Regulatory Affairs
License number
5101012063
Status
Active
First issued
June 20, 1994
Expires
June 20, 2028
License holder
Lisa Diane Stagner
Entity type
Individual

Classifications

Contact

Henry Ford Hospital
2799 W Grand Blvd
Detroit, MI 48202
Wayne County