JUSTIN M FOX MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036118129

License Status

INACTIVE

Business

First Name

JUSTIN

Middle

Last Name

FOX

Suffix

Business Name

JUSTIN M FOX MD

Original Issue Date

04/13/2007

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

04/07/2011