License holder summary

ANGELA V FORMAZ is a Medicine - Athletic Trainer licensed to practice in Pennsylvania. The address on file for ANGELA V FORMAZ is Allentown PA 18109. This licensed professional license is current. The license was granted 03/08/2004 and expired on 12/31/2014.

Pennsylvania

Department of State

ANGELA V FORMAZ
Medicine - Athletic Trainer
License number
RT003528
Date granted
03/08/2004
Date expires
12/31/2014
Class
Medicine - Athletic Trainer
Status
Active
Address
Allentown PA 18109
palicensing.org
ID 16618320
LAST UPDATED 2026-04-12 02:05:10 UTC

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