MARK DOUGLAS FORTE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129355

License Status

NOT RENEWED

Business

Title

First Name

MARK

Middle

DOUGLAS

Last Name

FORTE

Business Name

MARK DOUGLAS FORTE MD

Original Issue Date

12/13/2011

Effective Date

12/13/2011

Expiration Date

07/31/2014

City

MONUMENT

State

Zip

80132

County

COLORADO

Ever Disciplined

LastModifiedDate

11/17/2014

Case Number

2013002337

Action

Suspension

Discipline Start Date

09/20/2013

Discipline Reason

after being disciplined by the state of Colorado.