KEVIN J FORSYTH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

NOT RENEWED

Business

First Name

KEVIN J

Last Name

FORSYTH

Suffix

Business Name

KEVIN J FORSYTH MD

Original Issue Date

04/20/1992

Effective Date

04/20/1992

Expiration Date

07/31/1996

City

OAK PARK

State

Zip

60302

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006