MATTHEW F FOX MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055647

License Status

CANCELLED

Business

Title

First Name

MATTHEW

Middle

Last Name

FOX

Business Name

MATTHEW F FOX MD

Original Issue Date

10/31/2013

Effective Date

10/31/2013

Expiration Date

06/30/2015

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

03/24/2014