MICHELLE ONYINYE FORSON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062610

License Status

CANCELLED

Business

Title

First Name

MICHELLE

Middle

ONYINYE

Last Name

FORSON

Business Name

MICHELLE ONYINYE FORSON MD

Original Issue Date

06/24/2013

Effective Date

06/24/2013

Expiration Date

06/23/2016

City

WEST ALLIS

State

Zip

53214

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/24/2014