DAVID ALAN FORGAS MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076387

License Status

CANCELLED

Business

Title

First Name

DAVID

Middle

ALAN

Last Name

FORGAS

Business Name

DAVID ALAN FORGAS MD

Original Issue Date

06/26/2023

Effective Date

06/26/2023

Expiration Date

06/25/2025

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

12/17/2024