License holder summary

DENNIS S FORMAN is a Optometrist - Diagnostics licensed to practice in Pennsylvania. The address on file for DENNIS S FORMAN is PHILADELPHIA PA 19107. This licensed professional license is not current. The license was granted 08/01/1974 and expired on 11/30/2002.

Pennsylvania

Department of State

DENNIS S FORMAN
Optometrist - Diagnostics
License number
OE004885P
Date granted
08/01/1974
Date expires
11/30/2002
Class
Optometrist - Diagnostics
Status
Expired
Address
PHILADELPHIA PA 19107
palicensing.org
ID 16948210
LAST UPDATED 2026-07-14 11:36:10 UTC

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