Walter B Forman
Medical - Interim
New Mexico 4745 Expired
This New Mexico license was held by Walter B Forman. The license is no longer active. It was granted on 05/18/1988 and expired on 11/22/1988
LICENSE DETAILS
- License Number: 4745
- Category: Interim
- Status: Expired
- Date Granted: 05/18/1988 (almost 36 years ago)
- Expiry Date: 11/22/1988 (over 35 years ago)