WILLIAM A FORSYTH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****76

License Status

NOT RENEWED

Business

First Name

WILLIAM

Middle

Last Name

FORSYTH

Suffix

Business Name

WILLIAM A FORSYTH MD

Original Issue Date

03/16/1999

Effective Date

03/16/1999

Expiration Date

07/31/1999

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017