SAMUEL CHARLES FOX MD Medical Doctor License verification

Business Entity

CLOSED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125072612

License Status

CLOSED

Business

Title

First Name

SAMUEL

Middle

CHARLES

Last Name

FOX

Business Name

SAMUEL CHARLES FOX MD

Original Issue Date

07/01/2018

Effective Date

07/01/2018

Expiration Date

06/30/2021

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/14/2018