License holder summary

FORMAN GARY RICHARD is a Dental License licensed to practice in California. The address on file for FORMAN GARY RICHARD is 12 EVERGREEN DR ORINDA CA 94563. This licensed professional license is not current. The license was granted 09/23/1985 and expired on 04/30/2016.

California

Department of Consumer Affairs

FORMAN GARY RICHARD
Dental License
License number
34098
Date granted
09/23/1985
Date expires
04/30/2016
Class
Dental License
Status
Inactive
Address
12 EVERGREEN DR ORINDA CA 94563
californialicensing.org
ID 19789567
LAST UPDATED 2026-04-19 13:34:30 UTC

This website is unaffiliated with the Department of Consumer Affairs. Please verify all information directly with the relevant official government authority.

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