CHARLES SAMUEL FOX MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036050363

License Status

ACTIVE

Business

First Name

CHARLES SAMUEL

Last Name

FOX

Suffix

Business Name

CHARLES SAMUEL FOX MD

Original Issue Date

11/26/1974

Effective Date

04/27/2023

Expiration Date

07/31/2026

City

WILMETTE

State

Zip

60091

County

COOK

Ever Disciplined

LastModifiedDate

04/27/2023