License holder summary

MARNIN FORMAN is a Controlled Substance Registration for Practitioners licensed to practice in Connecticut. The address on file for MARNIN FORMAN is STAMFORD, CT, 06902-2014. This licensed professional license is current. The license was granted 03/01/2013 and expired on 02/28/2015.

Connecticut

Department of Consumer Protection

MARNIN FORMAN
Controlled Substance Registration for Practitioners
License number
CSP.0049607
Date granted
03/01/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
STAMFORD, CT, 06902-2014
ctlicensing.org
ID 351480
LAST UPDATED 2024-04-20 18:39:27 UTC

This website is unaffiliated with the Department of Consumer Protection . Please verify all information directly with the relevant official government authority.

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