ALICE M FORSYTHE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****39

License Status

NOT RENEWED

Business

First Name

ALICE M

Last Name

FORSYTHE

Suffix

Business Name

ALICE M FORSYTHE MD

Original Issue Date

04/26/1983

Effective Date

04/26/1983

Expiration Date

07/31/1990

City

DECATUR

State

Zip

62521

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006