CATHERINE MARY FOX MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029163

License Status

EXPIRED

Business

First Name

CATHERINE MARY

Last Name

FOX

Suffix

Business Name

CATHERINE MARY FOX MD

Original Issue Date

10/20/1992

Effective Date

10/20/1992

Expiration Date

01/01/1997

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006