License holder summary

MARY FORMAN is a Controlled Substance Registration for Practitioners licensed to practice in Connecticut. The address on file for MARY FORMAN is LITCHFIELD, CT, 06759-3721. This licensed professional license is current. The license was granted 03/01/2013 and expired on 02/28/2015.

Connecticut

Department of Consumer Protection

MARY FORMAN
Controlled Substance Registration for Practitioners
License number
CSP.0046978
Date granted
03/01/2013
Date expires
02/28/2015
Class
Controlled Substance Registration for Practitioners
Status
Active
Address
LITCHFIELD, CT, 06759-3721
ctlicensing.org
ID 348539
LAST UPDATED 2026-03-06 23:18:57 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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