New York
Office of the Professions
FORMAN DOUGLAS L
Medicine (Physician, Including M Ds & D Os)
License number
189141
Date granted
06/10/1992
Class
Medicine (Physician, Including M Ds & D Os)
Status
Inactive
Address
BETHESDA MD
nymedicine.org
ID 30142153
LAST UPDATED 2024-02-26 16:01:38 UTC
LAST UPDATED 2024-02-26 16:01:38 UTC
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