License holder summary

Dr. WALTER BRIAN FORMAN is a Medical Board - 35.Doctor Of Medicine licensed to practice in Ohio. The address on file for Dr. WALTER BRIAN FORMAN is 2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87131. This doctor license is not current. The license was granted 01/30/1968 and expired on 01/01/2007.

Ohio

State Medical Board of Ohio

Dr. WALTER BRIAN FORMAN
Medical Board - 35.Doctor Of Medicine
License number
35.030623
Date granted
01/30/1968
Date expires
01/01/2007
Class
Medical Board - 35.Doctor Of Medicine
Status
Inactive
Address
2211 LOMAS BLVD NE, ALBUQUERQUE, NM 87131
doctorsohio.org
ID 28514476
LAST UPDATED 2024-03-05 13:36:58 UTC

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