ELLEN E FOX MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036083436

License Status

NOT RENEWED

Business

First Name

ELLEN E

Last Name

FOX

Suffix

Business Name

ELLEN E FOX MD

Original Issue Date

09/11/1991

Effective Date

09/11/1991

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006