PATRICK JAMES FOX DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****47

License Status

CANCELLED

Business

First Name

PATRICK

Middle

JAMES

Last Name

FOX

Suffix

DDS

Business Name

PATRICK JAMES FOX DDS

Original Issue Date

05/16/2007

Effective Date

05/16/2007

Expiration Date

09/30/2009

City

BRADLEY

State

Zip

60915

County

KANKAKEE

Specialty/Qualifier

HOSPITAL/CLINIC

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2007