Ohio
Board of Licensing
FORREST THEODORE FORNASH JR
Medical Board - 50.Physician Assistant
License number
50.001793
Date granted
03/28/2002
Date expires
01/31/2016
Class
Medical Board - 50.Physician Assistant
Status
Active
Address
Dayton Lung & Sleep Medicine, 8881 North Main Street, Dayton, OH 45415
ohiolicensing.org
ID 28435854
LAST UPDATED 2024-03-20 13:48:02 UTC
LAST UPDATED 2024-03-20 13:48:02 UTC