License holder summary

MICHELLE H. FORMAN is a Nursing - Clinical Laboratory Supervisor licensed to practice in Florida. The address on file for MICHELLE H. FORMAN is 200 AVENUE F, NE WINTER HAVEN, FL 33881 UNITED STATES. This nurse license is current. The license was granted 12/23/1985 and expired on 08/31/2016.

Secretary of State

Board of Nursing

MICHELLE H. FORMAN
Nursing - Clinical Laboratory Supervisor
License number
SU25262
Date granted
12/23/1985
Date expires
08/31/2016
Class
Nursing - Clinical Laboratory Supervisor
Status
Active
Address
200 AVENUE F, NE WINTER HAVEN, FL 33881 UNITED STATES
nursingflorida.org
ID 31839594
LAST UPDATED 2024-03-14 13:47:34 UTC

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