Wisconsin
Department of Safety and Professional Services
Forman, Vernon W
Clinical Substance Abuse Counselor
License number
1701-132
Date granted
04/15/1994
Date expires
02/28/2013
Class
Clinical Substance Abuse Counselor
Status
Expired
wisconsinlicensing.org
ID 13543885
LAST UPDATED 2026-03-09 06:07:33 UTC
LAST UPDATED 2026-03-09 06:07:33 UTC
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