License holder summary

Dr. MARJORIE LOU FORMAN is a Medical Board - 35.Doctor Of Medicine licensed to practice in Ohio. The address on file for Dr. MARJORIE LOU FORMAN is OAK PARK, IL 60302. This doctor license is not current. The license was granted 08/20/1963 and expired on 12/31/1976.

Ohio

State Medical Board of Ohio

Dr. MARJORIE LOU FORMAN
Medical Board - 35.Doctor Of Medicine
License number
35.026623
Date granted
08/20/1963
Date expires
12/31/1976
Class
Medical Board - 35.Doctor Of Medicine
Status
Inactive
Address
OAK PARK, IL 60302
doctorsohio.org
ID 28471796
LAST UPDATED 2024-02-06 11:33:26 UTC

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