MICHAEL N FORTSAS Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

ACTIVE

Business

First Name

MICHAEL N

Last Name

FORTSAS

Business Name

MICHAEL N FORTSAS

Original Issue Date

06/21/1995

Effective Date

07/06/2023

Expiration Date

07/31/2026

City

BARRINGTON

State

Zip

60010

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/06/2023