BERNARD G FOGELSON Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

NOT RENEWED

Business

First Name

BERNARD G

Last Name

FOGELSON

Business Name

BERNARD G FOGELSON

Original Issue Date

08/21/1995

Effective Date

08/21/1995

Expiration Date

07/31/2002

City

SKOKIE

State

Zip

60077

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

10/09/2006