MICHAEL BRUCE FOGGS 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

MICHAEL BRUCE

Last Name

FOGGS

Suffix

Business Name

MICHAEL BRUCE FOGGS MD

Original Issue Date

01/01/1997

Effective Date

10/04/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60616

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/04/2023