KATHERINE MARIE FOX MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

NOT RENEWED

Business

Title

First Name

KATHERINE

Middle

MARIE

Last Name

FOX

Business Name

KATHERINE MARIE FOX MD

Original Issue Date

03/10/2011

Effective Date

04/24/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60601

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021