TIMOTHY MICHAEL FOELLER MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058488

License Status

EXPIRED

Business

First Name

TIMOTHY

Middle

MICHAEL

Last Name

FOELLER

Suffix

Business Name

TIMOTHY MICHAEL FOELLER MD

Original Issue Date

06/22/2010

Effective Date

06/22/2010

Expiration Date

06/21/2013

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/07/2013