License holder summary

FORMAN RICHARD MICHAEL is a Dental License licensed to practice in California. The address on file for FORMAN RICHARD MICHAEL is 252 S. CANON DR. BEVERLY HILLS CA 90212. This licensed professional license is not current. The license was granted 07/14/1982 and expired on 06/30/2013.

California

Department of Consumer Affairs

FORMAN RICHARD MICHAEL
Dental License
License number
30956
Date granted
07/14/1982
Date expires
06/30/2013
Class
Dental License
Status
DELINQUENT, SELF EMPLOYED AT 1 LOCATION
Address
252 S. CANON DR. BEVERLY HILLS CA 90212
californialicensing.org
ID 19768302
LAST UPDATED 2026-07-05 04:04:05 UTC

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