License holder summary

Evgenia Forman is a Board Of Registration In Medicine licensed to practice in Massachusetts. The address on file for Evgenia Forman is 545A Centre St, Jamaica Plain 02130. This licensed professional license is current. The license was granted 07/26/2006 and expired on 01/10/2017.

Massachusetts

Division of Professional Licensure

Evgenia Forman
Board Of Registration In Medicine
License number
228097
Date granted
07/26/2006
Date expires
01/10/2017
Class
Board Of Registration In Medicine
Status
Active
Address
545A Centre St
licensingma.org
ID 41427668
LAST UPDATED 2024-04-13 07:30:38 UTC

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