MICHAEL TRENT FOREMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

TRENT

Last Name

FOREMAN

Suffix

Business Name

MICHAEL TRENT FOREMAN MD

Original Issue Date

06/07/1999

Effective Date

06/29/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60643

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023