FREDRICK L FOX MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

NOT RENEWED

Business

First Name

FREDRICK

Middle

Last Name

FOX

Suffix

Business Name

FREDRICK L FOX MD

Original Issue Date

05/23/2000

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

CLAREMONT

State

Zip

62421

County

RICHLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020