DOUGLAS PETER FORGIT MD - Medical Doctor License in Illinois | # 036134674

DOUGLAS PETER FORGIT MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134674

License Status

NOT RENEWED

Business

N

Title

MD

First Name

DOUGLAS

Middle

PETER

Last Name

FORGIT

Business Name

DOUGLAS PETER FORGIT MD

Original Issue Date

02/24/2014

Effective Date

07/09/2014

Expiration Date

07/31/2017

State

IL

Ever Disciplined

N

LastModifiedDate

11/01/2017