NICHOLAS EUGENE FOX HAC MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069799

License Status

CANCELLED

Business

Title

First Name

NICHOLAS

Middle

EUGENE FOX

Last Name

HAC

Business Name

NICHOLAS EUGENE FOX HAC MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2020

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Neurology

Ever Disciplined

LastModifiedDate

03/16/2017