KATHLEEN LEE FORBES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

NOT RENEWED

Business

Title

First Name

KATHLEEN

Middle

LEE

Last Name

FORBES

Business Name

KATHLEEN LEE FORBES MD

Original Issue Date

09/27/2012

Effective Date

08/05/2014

Expiration Date

07/31/2017

City

PEORIA

State

Zip

61603

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017