License holder summary

DEBRA A FORMAN is a Speech Language Pathology - Licensed Speech Language Pathologist licensed to practice in Alaska. The address on file for DEBRA A FORMAN is 2054 BEARDSLEY DR. APOPKA FL 32703. This licensed professional license is current. The license was granted 03/18/2014 and expired on 09/30/2016.

Alaska

Division of Corporations, Business and Professional Licensing

DEBRA A FORMAN
Speech Language Pathology - Licensed Speech Language Pathologist
License number
481
Date granted
03/18/2014
Date expires
09/30/2016
Class
Speech Language Pathology - Licensed Speech Language Pathologist
Status
Licensed
Address
2054 BEARDSLEY DR. APOPKA FL 32703
alaskalicensing.com
ID 20436429
LAST UPDATED 2024-03-05 07:33:51 UTC

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