Pennsylvania
Department of State
GODFREY SPENCER FORMAN
Pharmacist
License number
RP020889L
Date granted
07/31/1951
Date expires
09/30/1988
Class
Pharmacist
Status
Inactive
Address
DIX HILLS NY 11746
palicensing.org
ID 17220268
LAST UPDATED 2026-04-29 04:47:49 UTC
LAST UPDATED 2026-04-29 04:47:49 UTC
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