WILLIAM FRED FORSYTH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013345

License Status

NOT RENEWED

Business

First Name

WILLIAM FRED

Last Name

FORSYTH

Suffix

DDS

Business Name

WILLIAM FRED FORSYTH DDS

Original Issue Date

07/16/1968

Effective Date

06/12/2018

Expiration Date

01/31/2022

City

PEORIA

State

Zip

61606

County

PEORIA

Ever Disciplined

LastModifiedDate

05/09/2022