GABRIEL FOREST MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125083751

License Status

ACTIVE

Business

Title

First Name

GABRIEL

Last Name

FOREST

Business Name

GABRIEL FOREST MD

Original Issue Date

06/23/2024

Effective Date

06/23/2024

Expiration Date

06/22/2027

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

04/24/2024