LISA MARIE FOGT MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036120324

License Status

ACTIVE

Business

First Name

LISA

Middle

MARIE

Last Name

FOGT

Suffix

Business Name

LISA MARIE FOGT MD

Original Issue Date

03/13/2008

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

WINNETKA

State

Zip

60093

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2023