Marjorie Lou Forman Md

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

036049042

Status

Expired (Not Renewed)

First issued

March 26, 1974

Expired

July 31, 2002

License holder

Marjorie Lou Forman Md

Entity type

Individual

Classifications

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

More from the license record

Current term began

03/26/1974

Other Illinois licenses under this name

• IL
  Marjorie Lou Forman Md

  License 33*****60

  Licensed Physician Controlled Substance (Medical Board)
  Expired

  Glen Ellyn, IL

  Expired Jul 31, 2002

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