License holder summary

Forgosh, Leslie B is a Medicine And Surgery Camp Or Recreational Facility Physician licensed to practice in Wisconsin. This licensed professional license is not current. The license was granted 07/07/2004 and expired on 10/05/2004.

Wisconsin

Department of Safety and Professional Services

Forgosh, Leslie B
Medicine And Surgery Camp Or Recreational Facility Physician
License number
6-875
Date granted
07/07/2004
Date expires
10/05/2004
Class
Medicine And Surgery Camp Or Recreational Facility Physician
Status
Expired
wisconsinlicensing.org
ID 36253718
LAST UPDATED 2026-05-22 14:20:40 UTC

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