License holder summary

DOUGLAS L FORMAN is a Medicine - Medicine And Surgery licensed to practice in District of Columbia. The address on file for DOUGLAS L FORMAN is 11210 OLD GEORGETOWN ROAD, NORTH BETHESDA MD 20852. This licensed professional license is current. The license was granted 06/04/1997 and expired on 12/31/2014.

District of Columbia

Department of Consumer and Regulatory Affairs

DOUGLAS L FORMAN
Medicine - Medicine And Surgery
License number
MD30227
Date granted
06/04/1997
Date expires
12/31/2014
Class
Medicine - Medicine And Surgery
Status
Active
Address
11210 OLD GEORGETOWN ROAD, NORTH BETHESDA MD 20852
dclicensing.com
ID 20147691
LAST UPDATED 2024-04-18 20:38:23 UTC

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