GOLDWYN B FOGGIE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029606

License Status

EXPIRED

Business

First Name

GOLDWYN B

Last Name

FOGGIE

Suffix

Business Name

GOLDWYN B FOGGIE MD

Original Issue Date

05/13/1993

Effective Date

05/13/1993

Expiration Date

06/30/1996

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006