MICHAEL ROBERT FOX DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071644

License Status

EXPIRED

Business

Title

First Name

MICHAEL

Middle

ROBERT

Last Name

FOX

Business Name

MICHAEL ROBERT FOX DO

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2021

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

10/11/2022