License holder summary

ELI M S FORMAN is a Professional Counselor licensed to practice in Pennsylvania. The address on file for ELI M S FORMAN is Leonia NJ 07605. This licensed professional license is not current. The license was granted 02/04/2003 and expired on 02/28/2007.

Pennsylvania

Department of State

ELI M S FORMAN
Professional Counselor
License number
PC002580
Date granted
02/04/2003
Date expires
02/28/2007
Class
Professional Counselor
Status
Inactive
Address
Leonia NJ 07605
palicensing.org
ID 17685527
LAST UPDATED 2024-05-10 06:06:57 UTC

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