CHARLES ELLIOTT FOUCAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036142795

License Status

NOT RENEWED

Business

Title

First Name

CHARLES

Middle

ELLIOTT

Last Name

FOUCAR

Business Name

CHARLES ELLIOTT FOUCAR MD

Original Issue Date

03/28/2017

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021