MARY ELIZABETH FOURNIER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

ACTIVE

Business

First Name

MARY

Middle

ELIZABETH

Last Name

FOURNIER

Suffix

Business Name

MARY ELIZABETH FOURNIER MD

Original Issue Date

04/26/2010

Effective Date

05/23/2023

Expiration Date

07/31/2026

City

SHILOH

State

Zip

62269

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/23/2023