License holder summary

MONICA N FORMAN is a Speech Pathologist licensed to practice in Indiana. The address on file for MONICA N FORMAN is HAMMOND IN 46324. This licensed professional license is not current. The license was granted 10/10/1978 and expired on 12/31/1983.

Indiana

Professional Licensing Agency

MONICA N FORMAN
Speech Pathologist
License number
22000977A
Date granted
10/10/1978
Date expires
12/31/1983
Class
Speech Pathologist
Status
Expired
Address
HAMMOND IN 46324
indianalicensing.org
ID 8628893
LAST UPDATED 2026-04-10 15:43:15 UTC

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