DOUGLAS JAY FOULKE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059577

License Status

NOT RENEWED

Business

First Name

DOUGLAS JAY

Last Name

FOULKE

Suffix

Business Name

DOUGLAS JAY FOULKE MD

Original Issue Date

10/26/1979

Effective Date

05/22/2014

Expiration Date

07/31/2017

City

ELGIN

State

Zip

60123

County

KANE

Ever Disciplined

LastModifiedDate

11/01/2017