License holder summary

Forman, Roger Jay is a Dentistry licensed to practice in Wisconsin. This licensed professional license is not current. The license was granted 05/29/1970 and expired on 09/30/1999.

Wisconsin

Department of Safety and Professional Services

Forman, Roger Jay
Dentistry
License number
5000766-15
Date granted
05/29/1970
Date expires
09/30/1999
Class
Dentistry
Status
Expired
wisconsinlicensing.org
ID 35579509
LAST UPDATED 2024-04-06 13:08:21 UTC

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