MARTIN L FOGEL Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020340

License Status

EXPIRED

Business

First Name

MARTIN

Middle

Last Name

FOGEL

Business Name

MARTIN L FOGEL

Original Issue Date

09/19/1986

Effective Date

09/19/1986

Expiration Date

10/23/1989

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Dermatopathology

Ever Disciplined

LastModifiedDate

09/22/2006