DAVID ALLEN FORSTER DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058693

License Status

NOT RENEWED

Business

First Name

DAVID ALLEN

Last Name

FORSTER

Suffix

Business Name

DAVID ALLEN FORSTER DO

Original Issue Date

05/17/1979

Effective Date

05/17/1979

Expiration Date

07/01/1982

City

PALOS PARK

State

Zip

60464

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006