ANTHONY OMAR FOULEN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042092

License Status

EXPIRED

Business

First Name

ANTHONY

Middle

OMAR

Last Name

FOULEN

Suffix

Business Name

ANTHONY OMAR FOULEN MD

Original Issue Date

07/25/2000

Effective Date

07/25/2000

Expiration Date

06/30/2003

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006