BRIAN LEE FOX DO - Medical Doctor License in Indiana | # 036101818

BRIAN LEE FOX DO

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101818

License Status

INACTIVE

Business

N

First Name

BRIAN

Middle

LEE

Last Name

FOX

Suffix

DO

Business Name

BRIAN LEE FOX DO

Original Issue Date

01/18/2000

Effective Date

07/31/2006

Expiration Date

07/31/2008

State

IN

Ever Disciplined

N

LastModifiedDate

06/16/2009