RICHARD J FOX Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125036012

License Status

EXPIRED

Business

First Name

RICHARD

Middle

Last Name

FOX

Business Name

RICHARD J FOX

Original Issue Date

05/14/1997

Effective Date

05/14/1997

Expiration Date

06/30/2000

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006