ANDREW WAYNE FOSTER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125707

License Status

NOT RENEWED

Business

Title

First Name

ANDREW

Middle

WAYNE

Last Name

FOSTER

Business Name

ANDREW WAYNE FOSTER MD

Original Issue Date

05/07/2010

Effective Date

05/07/2010

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011