BERNICE M FOKUM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036164347

License Status

ACTIVE

Business

Title

First Name

BERNICE

Middle

Last Name

FOKUM

Business Name

BERNICE M FOKUM MD

Original Issue Date

04/11/2023

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62712

County

SANGAMON

Ever Disciplined

LastModifiedDate

04/11/2023