HOWARD IRV FORMAN
Graduate Medical Trainee
Pennsylvania MT023716T Inactive
This Pennsylvania license was held by HOWARD IRV FORMAN. The license is no longer active. It was granted on 02/11/1993 and expired on 06/30/1994
LICENSE DETAILS
- License Number: MT023716T
- Category: Graduate Medical Trainee
- Status: Inactive
- Date Granted: 02/11/1993 (about 31 years ago)
- Expiry Date: 06/30/1994 (almost 30 years ago)