GILBERT R FORTUS Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****86

License Status

NOT RENEWED

Business

First Name

GILBERT R

Last Name

FORTUS

Business Name

GILBERT R FORTUS

Original Issue Date

10/29/1992

Effective Date

10/29/1992

Expiration Date

07/31/1996

City

EVANSTON

State

Zip

60202

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006