THOMAS P FORRESTAL Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125014848

License Status

EXPIRED

Business

First Name

THOMAS

Middle

Last Name

FORRESTAL

Business Name

THOMAS P FORRESTAL

Original Issue Date

07/28/1982

Effective Date

07/28/1982

Expiration Date

06/29/1984

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006