GERALD FORMAN
Dentist
Connecticut 3645 Active
This Connecticut license is held by GERALD FORMAN. The license is currently active. It was granted on 07/01/1963 and expired on 08/31/2015
LICENSE DETAILS
- License Number: 3645
- Category: Dentist
- Status: Active
- Date Granted: 07/01/1963 (almost 61 years ago)
- Expiry Date: 08/31/2015 (almost 9 years ago)
LOCATIONS
A Address
30 Grove Hill Road, Woodbridge, CT, 06525
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