FORMAN GARY RICHARD
Dental License
California 34098 Inactive
This California license was held by FORMAN GARY RICHARD. The license is no longer active. It was granted on 09/23/1985 and expired on 04/30/2016
LICENSE DETAILS
- License Number: 34098
- Category: Dental License
- Status: Inactive
- Date Granted: 09/23/1985 (almost 41 years ago)
- Expiry Date: 04/30/2016 (over 10 years ago)
LOCATIONS
A Address
12 EVERGREEN DR ORINDA CA 94563