JOHN G FORT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036092559

License Status

NOT RENEWED

Business

First Name

JOHN G

Last Name

FORT

Suffix

Business Name

JOHN G FORT MD

Original Issue Date

03/30/1996

Effective Date

03/30/1996

Expiration Date

07/31/2002

City

GLENVIEW

State

Zip

60025

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006