License holder summary

MELISA FORMAN is a Professional Counselor licensed to practice in Connecticut. The address on file for MELISA FORMAN is 12835 DROXFORD RD, Orange, WINDERMERE, FL, 34786-6648. This licensed professional license is current. The license was granted 10/03/2007 and expired on 01/31/2015.

Connecticut

Department of Consumer Protection

MELISA FORMAN
Professional Counselor
License number
1617
Date granted
10/03/2007
Date expires
01/31/2015
Class
Professional Counselor
Status
Active
Address
12835 DROXFORD RD, Orange, WINDERMERE, FL, 34786-6648
ctlicensing.org
ID 4948233
LAST UPDATED 2024-03-04 00:45:53 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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