ELOISE SKELTON FORREST MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

NOT RENEWED

Business

First Name

ELOISE

Middle

SKELTON

Last Name

FORREST

Suffix

Business Name

ELOISE SKELTON FORREST MD

Original Issue Date

11/07/2008

Effective Date

03/06/2012

Expiration Date

07/31/2014

City

KEOKUK

State

Zip

52632

County

IOWA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014