ALICE M FORSYTHE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036062805

License Status

NOT RENEWED

Business

First Name

ALICE M

Last Name

FORSYTHE

Suffix

Business Name

ALICE M FORSYTHE MD

Original Issue Date

08/14/1981

Effective Date

08/14/1981

Expiration Date

07/31/1990

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

11/03/2010