MELISA M FORMAN
Professional Counselor


Address: 4604 Old Oak Rd, Doylestown, PA 18902-8811

MELISA M FORMAN (Credential# 770901) is licensed (Professional Counselor) with Connecticut Department of Consumer Protection. The license effective date is February 1, 2015. The license expiration date date is January 31, 2016. The license status is INACTIVE.

Business Overview

MELISA M FORMAN is licensed with the Department of Consumer Protection of Connecticut. The credential number is #46.001617. The credential type is professional counselor. The effective date is February 1, 2015. The expiration date is January 31, 2016. The business address is 4604 Old Oak Rd, Doylestown, PA 18902-8811. The current status is inactive.

Basic Information

Licensee Name MELISA M FORMAN
Credential ID 770901
Credential Number 46.001617
Credential Type Professional Counselor
Business Address 4604 Old Oak Rd
Doylestown
PA 18902-8811
Business Type INDIVIDUAL
Status INACTIVE - LAPSED DUE TO NON-RENEWAL
Issue Date 2007-10-03
Effective Date 2015-02-01
Expiration Date 2016-01-31
Refresh Date 2016-05-17

Office Location

Street Address 4604 OLD OAK RD
City DOYLESTOWN
State PA
Zip Code 18902-8811

Licenses in the same zip code

Licensee Name Office Address Credential Effective / Expiration
Kimberly Ladas 4112 Tersher Drive, Doylestown, PA 18902 Registered Nurse 2020-08-01 ~ 2021-07-31
Steven C Devine 2829 Street Road, Doylestown, PA 18902 Professional Engineer 2020-02-01 ~ 2021-01-31
Peter F Hoey 5061 Mead Dr, Doylestown, PA 18902 Professional Engineer 2020-02-01 ~ 2021-01-31
Elizabeth A Jannetty 4194 Milords Ln, Doylestown, PA 18902 Registered Nurse 2020-04-01 ~ 2021-03-31
Paul M Bandlow 800 Hyde Park, Doylestown, PA 18902 Professional Engineer 2020-02-01 ~ 2021-01-31
Susan L. Roeder 5250 Bailey Court East, Doylestown, PA 18902 Certified Public Accountant Certificate 2014-01-01 ~ 2014-12-31
Daniel J Macneil 3110 Brentwood Dr, Doylestown, PA 18902 Physician/surgeon 2013-12-01 ~ 2014-11-30
Arlene F O'hara 3475 Philmont Drive, Doylestown, PA 18902 Registered Nurse 2010-08-01 ~ 2011-07-31
Lizamma Thalody 3820 Charter Club Dr, Doylestown, PA 18902 Registered Nurse 2008-04-14 ~ 2009-05-31
Light Speed Associates LLC 4387 W Swamp Rd Unit 248, Doylestown, PA 18902-1039 Major Contractor ~
Find all Licenses in zip 18902

Competitor

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City DOYLESTOWN
Zip Code 18902
License Type Professional Counselor
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Dataset Information

Data Provider Connecticut Department of Consumer Protection
Jurisdiction Connecticut
Related Datasets Connecticut Business Registrations, Connecticut Child Care Facilities

This dataset includes 1.41 million licenses issued wtih Connecticut Department of Consumer Protection (TDLR).

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