Eric Dean Forman Dc
InactiveIllinois license 038003626
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 038003626
- Status
- Inactive
- First issued
- January 25, 1977
- Expired
- July 31, 2014
- License holder
- Eric Dean Forman Dc
- Entity type
- Individual
Classifications
- Licensed Chiropractic Physician (Medical Board) Therapy & Rehabilitation
More from the license record
- Current term began
- 06/22/2011
Contact
Dixon, IL 61021
Lee County