License holder summary

FORMAN KATIE RAE is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for FORMAN KATIE RAE is NEW YORK NY. This doctor license is current. The license was granted 11/19/2008 and expired on 01/31/2017.

New York

Office of the Professions

FORMAN KATIE RAE
Medicine (Physician, Including M Ds & D Os)
License number
251142
Date granted
11/19/2008
Date expires
01/31/2017
Class
Medicine (Physician, Including M Ds & D Os)
Status
Registered
Address
NEW YORK NY
nymedicine.org
ID 30142174
LAST UPDATED 2024-03-08 20:36:58 UTC

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