JAY FORREST POMERANCE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

NOT RENEWED

Business

First Name

JAY FORREST

Last Name

POMERANCE

Suffix

Business Name

JAY FORREST POMERANCE MD

Original Issue Date

04/25/1995

Effective Date

04/25/1995

Expiration Date

07/31/2005

City

LAKE ZURICH

State

Zip

60047

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017