BRIAN FORSYTHE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****62

License Status

ACTIVE

Business

Title

First Name

BRIAN

Last Name

FORSYTHE

Business Name

BRIAN FORSYTHE MD

Original Issue Date

09/20/2012

Effective Date

05/04/2023

Expiration Date

07/31/2026

City

WESTCHESTER

State

Zip

60154

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

05/04/2023