KELLY F FORSYTH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023287

License Status

EXPIRED

Business

First Name

KELLY

Middle

Last Name

FORSYTH

Suffix

Business Name

KELLY F FORSYTH MD

Original Issue Date

04/19/1989

Effective Date

04/19/1989

Expiration Date

06/20/1992

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006