MICHAEL BRUCE FOGGS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057389

License Status

ACTIVE

Business

First Name

MICHAEL BRUCE

Last Name

FOGGS

Suffix

Business Name

MICHAEL BRUCE FOGGS MD

Original Issue Date

08/21/1978

Effective Date

10/04/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

10/04/2023