LAWRENCE J FOGELSON MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035155

License Status

EXPIRED

Business

First Name

LAWRENCE

Middle

Last Name

FOGELSON

Suffix

Business Name

LAWRENCE J FOGELSON MD

Original Issue Date

06/19/1996

Effective Date

06/19/1996

Expiration Date

06/30/2000

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/22/2006