(517) 290-8927

325 E Grand River Ave, Ste 250

East Lansing, MI 48823

www.pasanskilaw.com

Thank you for contacting Pasanski Law, PLLC. Please read the privacy policy below, and then fill out this form in its entirety prior to our consultation.

Privacy Policy

All information received from a potential client is strictly confidential. Pasanski Law, PLLC takes every step possible to protect your privacy. The data submitted via this form is encrypted and secured using industry-standard 256-bit SSL encryption.

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Are you seeking restoration of your license? (for example: reinstatement, relicensure, or reclassification)

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Have you received a subpoena from LARA's Bureau of Professional Licensing or contact from one of their investigators requesting an interview?

Yes

Have you received an Administrative Complaint?

Yes

What is the date on the Administrative Complaint?

Has your license been summarily suspended?

Yes

What is the date on the Order of Summary Suspension?

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ACKNOWLEDGEMENT AND ACCEPTANCE

I acknowledge that I have read and hereby accept the above privacy policy regarding use of my personal information.

THANK YOU

Thank you for completing this intake questionnaire. This information will be helpful in evaluating your case. We will contact you as soon as possible to schedule a free initial consultation.

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