NATHALIE EMMA-MARIE FORAY DO 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

NATHALIE

Middle

EMMA-MARIE

Last Name

FORAY

Business Name

NATHALIE EMMA-MARIE FORAY DO

Original Issue Date

07/31/2019

Effective Date

07/12/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/12/2023