NICOLE A FORGACH - Dentist License in Michigan | # 020010107

NICOLE A FORGACH

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010107

License Status

INACTIVE

Business

N

First Name

NICOLE

Middle

A

Last Name

FORGACH

Business Name

NICOLE A FORGACH

Original Issue Date

08/14/2001

Effective Date

09/30/2009

Expiration Date

09/30/2012

State

MI

Ever Disciplined

N

LastModifiedDate

06/06/2012