License holder summary

FORMAN LISA DIANE is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for FORMAN LISA DIANE is NEW YORK NY. This doctor license is current. The license was granted 07/16/1998 and expired on 12/31/2015.

New York

Office of the Professions

FORMAN LISA DIANE
Medicine (Physician, Including M Ds & D Os)
License number
211282
Date granted
07/16/1998
Date expires
12/31/2015
Class
Medicine (Physician, Including M Ds & D Os)
Status
Registered
Address
NEW YORK NY
nymedicine.org
ID 30142178
LAST UPDATED 2026-04-15 20:27:26 UTC

This website is unaffiliated with the Office of the Professions. Please verify all information directly with the relevant official government authority.

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