Ohio
Board of Licensing
Debra A. Forman
Medical Board - 33.Lmt E G Group
License number
33.020372-E-G
Date granted
06/15/2012
Date expires
01/01/2015
Class
Medical Board - 33.Lmt E G Group
Status
Active (In Renewal)
Address
Cincinnati, OH 45238
ohiolicensing.org
ID 29509392
LAST UPDATED 2024-04-07 04:02:37 UTC
LAST UPDATED 2024-04-07 04:02:37 UTC