WILLIAM A FORSYTH MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125030977

License Status

EXPIRED

Business

First Name

WILLIAM

Middle

Last Name

FORSYTH

Suffix

Business Name

WILLIAM A FORSYTH MD

Original Issue Date

05/04/1994

Effective Date

05/04/1994

Expiration Date

06/30/1998

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006