CHARLES SAMUEL FOX MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

ACTIVE

Business

First Name

CHARLES SAMUEL

Last Name

FOX

Suffix

Business Name

CHARLES SAMUEL FOX MD

Original Issue Date

01/01/1997

Effective Date

04/27/2023

Expiration Date

07/31/2026

City

WILMETTE

State

Zip

60091

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/27/2023