BRIAN C FORT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134501

License Status

ACTIVE

Business

Title

First Name

BRIAN

Middle

Last Name

FORT

Business Name

BRIAN C FORT MD

Original Issue Date

01/29/2014

Effective Date

04/12/2023

Expiration Date

07/31/2026

City

HINSDALE

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/12/2023