Max Forman Md

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

036029709

Status

Inactive

First issued

October 18, 1949

Expired

July 31, 1996

License holder

Max Forman Md

Entity type

Individual

Classifications

• Licensed Physician and Surgeon (Medical Board) Physicians & Surgeons

More from the license record

Current term began

10/18/1949

Other Illinois licenses under this name

• IL
  Max Forman Md

  License 33*****87

  Licensed Physician Controlled Substance (Medical Board)
  Expired

  Expired Jul 31, 1996

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