ADRIENNE BUFORD FOGGS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036072276

License Status

NOT RENEWED

Business

First Name

ADRIENNE

Middle

BUFORD

Last Name

FOGGS

Suffix

Business Name

ADRIENNE BUFORD FOGGS MD

Original Issue Date

01/28/1986

Effective Date

01/28/1986

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006