WILLIAM FRED FORSYTH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****84

License Status

NOT RENEWED

Business

First Name

WILLIAM FRED

Last Name

FORSYTH

Suffix

DDS

Business Name

WILLIAM FRED FORSYTH DDS

Original Issue Date

01/01/1998

Effective Date

06/12/2018

Expiration Date

01/31/2022

City

PEORIA

State

Zip

61606

County

PEORIA

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

05/09/2022