DOUGLASS W FORSHA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076511

License Status

NOT RENEWED

Business

First Name

DOUGLASS W

Last Name

FORSHA

Suffix

Business Name

DOUGLASS W FORSHA MD

Original Issue Date

01/01/1988

Effective Date

01/01/1988

Expiration Date

07/31/1990

City

RIVER FOREST

State

Zip

60305

County

COOK

Ever Disciplined

LastModifiedDate

08/04/2008