GRETCHEN ELIZABETH FOX MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056721

License Status

CANCELLED

Business

Title

First Name

GRETCHEN

Middle

ELIZABETH

Last Name

FOX

Business Name

GRETCHEN ELIZABETH FOX MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

05/18/2009