BERNARD G FOGELSON Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029403

License Status

EXPIRED

Business

First Name

BERNARD G

Last Name

FOGELSON

Business Name

BERNARD G FOGELSON

Original Issue Date

05/05/1993

Effective Date

05/05/1993

Expiration Date

06/30/1996

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006