MICHAEL J FORSETH MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125032632

License Status

CANCELLED

Business

First Name

MICHAEL

Middle

Last Name

FORSETH

Suffix

Business Name

MICHAEL J FORSETH MD

Original Issue Date

05/23/1995

Effective Date

05/23/1995

Expiration Date

06/30/1998

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

09/22/2006