ADRIENNE M BURFORD-FOGGS MD SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042617019

License Status

NOT RENEWED

Business

Business Name

ADRIENNE M BURFORD-FOGGS MD SC

Original Issue Date

12/14/1999

Effective Date

10/11/2017

Expiration Date

01/01/2019

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

03/28/2019