License holder summary

MARY FORMAN is a Registered Nurse licensed to practice in Connecticut. The address on file for MARY FORMAN is 661 EAST ST, Litchfield, LITCHFIELD, CT, 06759-3721. This nurse license is current. The license was granted 07/22/1994 and expired on 09/30/2014.

Department of Public Health

Board of Nursing

MARY FORMAN
Registered Nurse
License number
E56827
Date granted
07/22/1994
Date expires
09/30/2014
Class
Registered Nurse
Status
Active
Address
661 EAST ST, Litchfield, LITCHFIELD, CT, 06759-3721
nursingct.org
ID 4571923
LAST UPDATED 2024-04-14 12:24:04 UTC

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