JOHN R DEFOREST DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

ACTIVE

Business

First Name

JOHN R

Last Name

DEFOREST

Suffix

Business Name

JOHN R DEFOREST DO

Original Issue Date

07/14/1995

Effective Date

06/20/2023

Expiration Date

07/31/2026

City

BEECHER

State

Zip

60401

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/20/2023