GERALD EDWIN FOX MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041173

License Status

INACTIVE

Business

First Name

GERALD EDWIN

Last Name

FOX

Suffix

Business Name

GERALD EDWIN FOX MD

Original Issue Date

07/28/1967

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

MT VERNON

State

Zip

62864

County

JEFFERSON

Ever Disciplined

LastModifiedDate

04/17/2008