License holder summary

Roger Jay Forman is a Dental - Dentist licensed to practice in Colorado. The address on file for Roger Jay Forman is 1755 View Point Road, Boulder, CO, 80305-0305. This licensed professional license is current. The license was granted 06/29/1970 and expired on 02/29/2016.

Colorado

Division of Professions and Occupations

Roger Jay Forman
Dental - Dentist
License number
53
Date granted
06/29/1970
Date expires
02/29/2016
Class
Dental - Dentist
Status
Active
Address
1755 View Point Road, Boulder, CO, 80305-0305
coloradolicensing.org
ID 27247650
LAST UPDATED 2024-03-01 06:27:35 UTC

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