License holder summary

Augustin Formanek is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for Augustin Formanek is Dept Of Radiology, 300 S Hawthorne Rd, Winston Salem, NC 27103. This doctor license is not current. The license was granted 02/26/1971 and expired on 12/31/1991.

Department of Safety and Professional Services

Board of Medical Practice

Augustin Formanek
Medical - Physician And Surgeon
License number
19544
Date granted
02/26/1971
Date expires
12/31/1991
Class
Medical - Physician And Surgeon
Status
Deceased
Address
Dept Of Radiology, 300 S Hawthorne Rd, Winston Salem, NC 27103
doctorsminnesota.org
ID 22208209
LAST UPDATED 2024-04-15 14:18:53 UTC

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