Stephan Lance Forstot Md

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

036043753

Status

Expired (Not Renewed)

First issued

September 24, 1970

License holder

Stephan Lance Forstot Md

Entity type

Individual

Classifications

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

More from the license record

Current term began

09/24/1970

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