HANNAH J FORRISTALL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125081293

License Status

ACTIVE

Business

Title

First Name

HANNAH

Middle

Last Name

FORRISTALL

Business Name

HANNAH J FORRISTALL MD

Original Issue Date

07/01/2024

Effective Date

07/01/2024

Expiration Date

06/30/2026

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

07/01/2024