License holder summary

WAYNE FORMAN is a Optometrist licensed to practice in Connecticut. The address on file for WAYNE FORMAN is 133 Fairway Court, CARMEL, NY, 10512. This licensed professional license is current. The license was granted 01/30/1991 and expired on 11/30/2014.

Connecticut

Department of Consumer Protection

WAYNE FORMAN
Optometrist
License number
1068
Date granted
01/30/1991
Date expires
11/30/2014
Class
Optometrist
Status
Active
Address
133 Fairway Court, CARMEL, NY, 10512
ctlicensing.org
ID 4290113
LAST UPDATED 2024-04-13 18:04:59 UTC

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