GERALD EDWIN FOX MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

CANCELLED

Business

First Name

GERALD EDWIN

Last Name

FOX

Suffix

Business Name

GERALD EDWIN FOX MD

Original Issue Date

01/01/1997

Expiration Date

07/31/2005

City

MOUNT VERNON

State

Zip

62864

County

JEFFERSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006