ADRIENNE M BURFORD FOGGS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

ACTIVE

Business

First Name

ADRIENNE M

Last Name

BURFORD FOGGS

Suffix

Business Name

ADRIENNE M BURFORD FOGGS MD

Original Issue Date

06/01/1987

Effective Date

07/18/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/18/2023