MAX FORMAN MD PC Professional Service Corporation License verification

Business Entity

NOT RENEWED

License Type

Professional Service Corporation

Description

REGISTERED PROFESSIONAL SERVICE CORPORATION

License Number

060002697

License Status

NOT RENEWED

Business

Business Name

MAX FORMAN MD PC

Original Issue Date

10/08/1980

Effective Date

10/08/1980

Expiration Date

01/01/1995

City

CHICAGO

State

Zip

60601

County

COOK

Ever Disciplined

LastModifiedDate

09/28/2006