MICHAEL J FORSETH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036097135

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

FORSETH

Suffix

Business Name

MICHAEL J FORSETH MD

Original Issue Date

12/29/1997

Effective Date

12/29/1997

Expiration Date

07/31/2002

City

RIVERSIDE

State

Zip

60546

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006