IRVING LESLIE FULD MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036063579

License Status

INACTIVE

Business

First Name

IRVING LESLIE

Last Name

FULD

Suffix

Business Name

IRVING LESLIE FULD MD

Original Issue Date

11/23/1981

Effective Date

05/29/2020

Expiration Date

07/31/2023

City

EVERGREEN PARK

State

Zip

60805

County

COOK

Ever Disciplined

LastModifiedDate

04/04/2023