License holder summary

GERALD FORMAN is a Dentist licensed to practice in Connecticut. The address on file for GERALD FORMAN is 30 Grove Hill Road, Woodbridge, CT, 06525. This licensed professional license is current. The license was granted 07/01/1963 and expired on 08/31/2015.

Connecticut

Department of Consumer Protection

GERALD FORMAN
Dentist
License number
3645
Date granted
07/01/1963
Date expires
08/31/2015
Class
Dentist
Status
Active
Address
30 Grove Hill Road, Woodbridge, CT, 06525
ctlicensing.org
ID 505536
LAST UPDATED 2024-04-01 19:17:55 UTC

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