License holder summary

LANNY PHILIP FORMAN is a Acupuncture Supervisor licensed to practice in Pennsylvania. The address on file for LANNY PHILIP FORMAN is PHILADELPHIA PA 19128-1047. This licensed professional license is not current. The license was granted 02/10/1999.

Pennsylvania

Department of State

LANNY PHILIP FORMAN
Acupuncture Supervisor
License number
MK000328L
Date granted
02/10/1999
Class
Acupuncture Supervisor
Status
Inactive
Address
PHILADELPHIA PA 19128-1047
palicensing.org
ID 16614754
LAST UPDATED 2024-05-02 14:00:00 UTC

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