DIANE H FORTMAN
Department Of Health - Podiatric Physician
Florida PO1778 Voided
This Florida license was held by DIANE H FORTMAN. The license is no longer active. It was granted on 01/01/1984 and expired on 03/31/2006
LICENSE DETAILS
- License Number: PO1778
- Category: Podiatric Physician
- Status: Voided
- Date Granted: 01/01/1984 (over 42 years ago)
- Expiry Date: 03/31/2006 (over 20 years ago)
LOCATIONS
A Primary Practice Address
2448 ELMWOOD AVE, KENMORE, NY 14217-2244