RUTH K FOTHERGILL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

NOT RENEWED

Business

First Name

RUTH K

Last Name

FOTHERGILL

Suffix

Business Name

RUTH K FOTHERGILL MD

Original Issue Date

09/02/1992

Effective Date

09/02/1992

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60640

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008