NICHOLAS EUGENE FOX HAC MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

ACTIVE

Business

Title

First Name

NICHOLAS

Middle

EUGENE FOX

Last Name

HAC

Business Name

NICHOLAS EUGENE FOX HAC MD

Original Issue Date

04/01/2020

Effective Date

06/29/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/29/2023