Lisa Gayle S Forrest
Medical - Interim
New Mexico 4609 Deceased
This New Mexico license was held by Lisa Gayle S Forrest. The license is no longer active. It was granted on 08/03/1987 and expired on 11/16/1987
LICENSE DETAILS
- License Number: 4609
- Category: Interim
- Status: Deceased
- Date Granted: 08/03/1987 (over 37 years ago)
- Expiry Date: 11/16/1987 (over 37 years ago)