License holder summary

Dr. PHILLIP MARVIN FORMAN is a Medical Board - 35.Doctor Of Medicine licensed to practice in Ohio. The address on file for Dr. PHILLIP MARVIN FORMAN is 000, OH 000. This doctor license is not current. The license was granted 08/22/1961 and expired on 12/31/1968.

Ohio

State Medical Board of Ohio

Dr. PHILLIP MARVIN FORMAN
Medical Board - 35.Doctor Of Medicine
License number
35.025047
Date granted
08/22/1961
Date expires
12/31/1968
Class
Medical Board - 35.Doctor Of Medicine
Status
Inactive
Address
000, OH 000
doctorsohio.org
ID 28487526
LAST UPDATED 2021-07-22 04:35:34 UTC

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