EDWARD MICHAEL FOX DMD - Dentist License in Illinois | # 019017500

EDWARD MICHAEL FOX DMD

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019017500

License Status

NOT RENEWED

Business

N

First Name

EDWARD MICHAEL

Last Name

FOX

Suffix

DMD

Business Name

EDWARD MICHAEL FOX DMD

Original Issue Date

12/01/1980

Effective Date

12/01/1980

Expiration Date

09/30/1984

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005