LUCY R FOX Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044595

License Status

EXPIRED

Business

First Name

LUCY

Middle

Last Name

FOX

Business Name

LUCY R FOX

Original Issue Date

09/01/2002

Effective Date

09/01/2002

Expiration Date

08/31/2005

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006