FORREST J KING MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

NOT RENEWED

Business

First Name

FORREST J

Last Name

KING

Suffix

Business Name

FORREST J KING MD

Original Issue Date

04/08/1988

Effective Date

04/08/1988

Expiration Date

07/31/1996

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006