License holder summary

DANIEL FORMAN is a Speech and Language Pathologist licensed to practice in Connecticut. The address on file for DANIEL FORMAN is 138 WOODLAWN ST, New Haven, HAMDEN, CT, 06517-1339. This licensed professional license is current. The license was granted 12/09/2013 and expired on 10/31/2014.

Connecticut

Department of Consumer Protection

DANIEL FORMAN
Speech and Language Pathologist
License number
4765
Date granted
12/09/2013
Date expires
10/31/2014
Class
Speech and Language Pathologist
Status
Active
Address
138 WOODLAWN ST, New Haven, HAMDEN, CT, 06517-1339
ctlicensing.org
ID 18393050
LAST UPDATED 2024-02-09 09:37:57 UTC

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