BRIAN LEE FOX DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125037193

License Status

EXPIRED

Business

First Name

BRIAN

Middle

LEE

Last Name

FOX

Suffix

Business Name

BRIAN LEE FOX DO

Original Issue Date

08/06/1997

Effective Date

08/06/1997

Expiration Date

08/05/2000

City

CHICAGO

State

Zip

60608

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006