License holder summary

FORMAN, PENNY MICHELE, MD is a Medical - Physician licensed to practice in Georgia. The address on file for FORMAN, PENNY MICHELE, MD is 4310 JOHNS CREEK PARKWAY | STE 150, Suwanee 30024. This doctor license is current. The license was granted 05/04/2001 and expired on 11/30/2017.

Georgia

Composite Medical Board

FORMAN, PENNY MICHELE, MD
Medical - Physician
License number
050077
Date granted
05/04/2001
Date expires
11/30/2017
Class
Medical - Physician
Status
Active
Address
4310 JOHNS CREEK PARKWAY | STE 150
georgiadoctors.net
ID 38043057
LAST UPDATED 2024-02-02 16:33:32 UTC

This website is unaffiliated with the Composite Medical Board. Please verify all information directly with the relevant official government authority.

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