SHELLEY M FORMAN
Psychology - Master's Ltd. Psychologist
Michigan 6301003190 Lapsed
This Michigan license was held by SHELLEY M FORMAN. The license is no longer active. It was granted on 10/31/1979 and expired on 08/31/2002
LICENSE DETAILS
- License Number: 6301003190
- Category: Master's Ltd. Psychologist
- Status: Lapsed
- Date Granted: 10/31/1979 (over 44 years ago)
- Expiry Date: 08/31/2002 (almost 22 years ago)