KATHERINE MARIE FOX MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055254

License Status

CANCELLED

Business

Title

First Name

KATHERINE

Middle

MARIE

Last Name

FOX

Business Name

KATHERINE MARIE FOX MD

Original Issue Date

06/17/2008

Effective Date

06/17/2008

Expiration Date

06/16/2011

City

BERWYN

State

Zip

60402

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/17/2008