MARGARET FORMAN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****18

License Status

ACTIVE

Business

First Name

MARGARET

Last Name

FORMAN

Business Name

MARGARET FORMAN

Original Issue Date

10/13/2023

Effective Date

12/03/2025

Expiration Date

03/01/2028

City

OAK PARK

State

Zip

60302

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/05/2026