License holder summary

MICHAEL BRIAN FORMAN is a Dentist licensed to practice in Pennsylvania. The address on file for MICHAEL BRIAN FORMAN is CLAYMONT DE 19703. This medical practitioner license is not current. The license was granted 09/25/1981 and expired on 03/31/1983.

Department of State

Board of Medicine

MICHAEL BRIAN FORMAN
Dentist
License number
DS022561L
Date granted
09/25/1981
Date expires
03/31/1983
Class
Dentist
Status
Expired
Address
CLAYMONT DE 19703
medicinepa.com
ID 37428523
LAST UPDATED 2026-05-06 06:17:30 UTC

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