License holder summary

Michelle Ann Bardack Fort is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for Michelle Ann Bardack Fort is PO Box 3567, Shiprock, NM 87420. This doctor license is current. The license was granted 11/18/1995 and expired on 11/30/2003.

Department of Safety and Professional Services

Board of Medical Practice

Michelle Ann Bardack Fort
Medical - Physician And Surgeon
License number
38390
Date granted
11/18/1995
Date expires
11/30/2003
Class
Medical - Physician And Surgeon
Status
Active
Address
PO Box 3567, Shiprock, NM 87420
doctorsminnesota.org
ID 22157546
LAST UPDATED 2024-03-20 03:16:53 UTC

This website is unaffiliated with the Board of Medical Practice. Please verify all information directly with the relevant official government authority.

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