MONIQUE E FOX Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125040782

License Status

EXPIRED

Business

First Name

MONIQUE

Middle

Last Name

FOX

Business Name

MONIQUE E FOX

Original Issue Date

06/30/2000

Effective Date

06/30/2000

Expiration Date

06/30/2006

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

09/22/2006