LAWRENCE FOGELSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036035024

License Status

NOT RENEWED

Business

First Name

LAWRENCE

Last Name

FOGELSON

Suffix

Business Name

LAWRENCE FOGELSON MD

Original Issue Date

12/03/1957

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

LINCOLNWOOD

State

Zip

60712

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008