Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****25

NOT RENEWED

N

MD

MEGAN

RENEE

FUQUA

MEGAN RENEE FUQUA MD

03/12/2020

08/12/2020

07/31/2023

CHICAGO

IL

60611

COOK

PRACTITIONER

II III IV V

N

11/30/2023