New York
Office of the Professions
FORMAN EVERETT ROY
Medicine (Physician, Including M Ds & D Os)
License number
103928
Date granted
07/02/1969
Date expires
04/30/2017
Class
Medicine (Physician, Including M Ds & D Os)
Status
Registered
Address
LATHAM NY
nymedicine.org
ID 30142157
LAST UPDATED 2024-04-16 00:37:18 UTC
LAST UPDATED 2024-04-16 00:37:18 UTC
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