License holder summary

WENDY JILL FORMAN is a Dental Hygienist licensed to practice in Pennsylvania. The address on file for WENDY JILL FORMAN is HARRISBURG PA 17109. This licensed professional license is not current. The license was granted 11/14/1980 and expired on 03/31/1983.

Pennsylvania

Department of State

WENDY JILL FORMAN
Dental Hygienist
License number
DH006734L
Date granted
11/14/1980
Date expires
03/31/1983
Class
Dental Hygienist
Status
Expired
Address
HARRISBURG PA 17109
palicensing.org
ID 16544774
LAST UPDATED 2024-04-19 17:56:31 UTC

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