MICHAEL R FORBES DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073760

License Status

CANCELLED

Business

Title

First Name

MICHAEL

Middle

Last Name

FORBES

Business Name

MICHAEL R FORBES DO

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2022

City

ITASCA

State

Zip

60143

County

DUPAGE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/03/2019