DAVID E FOOSANER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019617

License Status

EXPIRED

Business

First Name

DAVID E

Last Name

FOOSANER

Suffix

Business Name

DAVID E FOOSANER MD

Original Issue Date

06/19/1986

Effective Date

06/19/1986

Expiration Date

06/23/1989

City

CHICAGO

State

Zip

60640

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006