MARY D FUGETT DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029946

License Status

EXPIRED

Business

First Name

MARY D

Last Name

FUGETT

Suffix

Business Name

MARY D FUGETT DO

Original Issue Date

05/28/1993

Effective Date

05/28/1993

Expiration Date

06/21/1996

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

General Practice

Ever Disciplined

LastModifiedDate

09/22/2006