EDWARD B FOHRMAN Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036115615

License Status

NOT RENEWED

Business

First Name

EDWARD

Middle

Last Name

FOHRMAN

Business Name

EDWARD B FOHRMAN

Original Issue Date

04/04/2006

Effective Date

06/11/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011