WILLIAM A FORSYTH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

NOT RENEWED

Business

First Name

WILLIAM

Middle

Last Name

FORSYTH

Suffix

Business Name

WILLIAM A FORSYTH MD

Original Issue Date

08/12/1998

Effective Date

08/12/1998

Expiration Date

07/31/2008

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017