Department of State
Board of Cosmetology
SUSAN B FORMAN
Esthetician
License number
CQ111135
Date granted
05/28/2004
Date expires
01/31/2017
Class
Esthetician
Status
Active
Address
PHOENIXVILLE, PA 19460
pacosmetology.org
ID 16230130
LAST UPDATED 2026-04-08 14:52:36 UTC
LAST UPDATED 2026-04-08 14:52:36 UTC
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