MEGAN RENEE FUQUA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036152106

License Status

NOT RENEWED

Business

Title

First Name

MEGAN

Middle

RENEE

Last Name

FUQUA

Business Name

MEGAN RENEE FUQUA MD

Original Issue Date

03/09/2020

Effective Date

08/12/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023