JAY FORREST POMERANCE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

NOT RENEWED

Business

First Name

JAY FORREST

Last Name

POMERANCE

Suffix

Business Name

JAY FORREST POMERANCE MD

Original Issue Date

08/26/1996

Effective Date

04/17/2014

Expiration Date

07/31/2017

City

ARLINGTON HEIGHTS

State

Zip

60005

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017