REX A FOUCH Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000163

License Status

EXPIRED

Business

First Name

REX

Middle

Last Name

FOUCH

Business Name

REX A FOUCH

Original Issue Date

01/14/1992

Effective Date

01/14/1992

Expiration Date

07/13/1992

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/25/2006