KEVIN J FORSYTH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125024625

License Status

EXPIRED

Business

First Name

KEVIN J

Last Name

FORSYTH

Suffix

Business Name

KEVIN J FORSYTH MD

Original Issue Date

03/20/1990

Effective Date

03/20/1990

Expiration Date

03/19/1993

City

OAK PARK

State

Zip

60302

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006