LISA ANN FORMAN DVM Veterinarian License verification

Business Entity

ACTIVE

License Type

Veterinarian

Description

LICENSED VETERINARIAN

License Number

090008432

License Status

ACTIVE

Business

First Name

LISA

Middle

ANN

Last Name

FORMAN

Suffix

DVM

Business Name

LISA ANN FORMAN DVM

Original Issue Date

03/09/2001

Effective Date

11/07/2024

Expiration Date

01/31/2027

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

11/07/2024