License holder summary

ALYSSA I FORMAN is a Speech Language Pathologist licensed to practice in New Jersey. The address on file for ALYSSA I FORMAN is TEANECK NJ. This licensed professional license is current. The license was granted 01/24/2001 and expired on 10/31/2017.

New Jersey

Division of Consumer Affairs

ALYSSA I FORMAN
Speech Language Pathologist
License number
41YS00392400
Date granted
01/24/2001
Date expires
10/31/2017
Class
Speech Language Pathologist
Status
Active
Address
TEANECK NJ
licensingnj.com
ID 7960293
LAST UPDATED 2024-02-05 01:43:54 UTC

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