ANDREW WAYNE FOSTER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053219

License Status

EXPIRED

Business

Title

First Name

ANDREW

Middle

WAYNE

Last Name

FOSTER

Business Name

ANDREW WAYNE FOSTER MD

Original Issue Date

06/18/2010

Effective Date

06/18/2010

Expiration Date

06/17/2011

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

07/19/2011