Michelle Ann Bardack Fort
Medical - Physician And Surgeon
Minnesota 38390 Active
This Minnesota license is held by Michelle Ann Bardack Fort. The license is currently active. It was granted on 11/18/1995 and expired on 11/30/2003
LICENSE DETAILS
- License Number: 38390
- Category: Physician and Surgeon
- Status: Active
- Date Granted: 11/18/1995 (over 29 years ago)
- Expiry Date: 11/30/2003 (over 21 years ago)
LOCATIONS
A Address
PO Box 3567, Shiprock, NM 87420
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