M MICHAEL FORUTAN MD SC - Medical Corporation License in Illinois | # 042003695

M MICHAEL FORUTAN MD SC

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042003695

License Status

NOT RENEWED

Business

Y

Business Name

M MICHAEL FORUTAN MD SC

Original Issue Date

07/30/1979

Effective Date

11/23/2009

Expiration Date

01/01/2011

State

IL

Ever Disciplined

N

LastModifiedDate

02/08/2011