License holder summary

MELISA A FORMAN is a Professional Counselor licensed to practice in Pennsylvania. The address on file for MELISA A FORMAN is Doylestown PA 18902. This licensed professional license is current. The license was granted 11/07/2014 and expired on 02/28/2015.

Pennsylvania

Department of State

MELISA A FORMAN
Professional Counselor
License number
PC007920
Date granted
11/07/2014
Date expires
02/28/2015
Class
Professional Counselor
Status
Active
Address
Doylestown PA 18902
palicensing.org
ID 30092477
LAST UPDATED 2024-02-15 04:32:19 UTC

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