JOHN FOXEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

NOT RENEWED

Business

First Name

JOHN

Last Name

FOXEN

Suffix

Business Name

JOHN FOXEN MD

Original Issue Date

09/07/1982

Effective Date

09/07/1982

Expiration Date

07/31/1984

City

HOPKINS PARK

State

Zip

60944

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011