KEVIN C FORSYTHE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111027

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

Last Name

FORSYTHE

Business Name

KEVIN C FORSYTHE

Original Issue Date

03/17/2004

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008