MICHAEL TRENT FOREMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****30

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

TRENT

Last Name

FOREMAN

Suffix

Business Name

MICHAEL TRENT FOREMAN MD

Original Issue Date

07/11/1996

Effective Date

06/11/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

04/05/2020