Ohio
Board of Licensing
Shannon Nicole Forgac
Medical Board - 50.Physician Assistant
License number
50.003845
Date granted
09/12/2013
Date expires
01/31/2016
Class
Medical Board - 50.Physician Assistant
Status
Active
Address
269 Portland Way S, Galion, OH 44833
ohiolicensing.org
ID 29553810
LAST UPDATED 2026-04-11 03:48:50 UTC
LAST UPDATED 2026-04-11 03:48:50 UTC