JONATHAN M FOSS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125025161

License Status

EXPIRED

Business

First Name

JONATHAN M

Last Name

FOSS

Suffix

Business Name

JONATHAN M FOSS MD

Original Issue Date

05/25/1990

Effective Date

05/25/1990

Expiration Date

06/30/1993

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/22/2006