PHILLIP L FORNI Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002960

License Status

ACTIVE

Business

First Name

PHILLIP L

Last Name

FORNI

Business Name

PHILLIP L FORNI

Original Issue Date

08/03/1977

Effective Date

01/24/2025

Expiration Date

01/31/2027

City

ROSELLE

State

Zip

60172

County

COOK

Ever Disciplined

LastModifiedDate

02/26/2025

Case Number

2013004533

Action

Suspension

Discipline Start Date

05/01/2015

Discipline End Date

01/25/2017

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 01/26/2017.