KATHERINE MARIE FOX MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****55

License Status

NOT RENEWED

Business

Title

First Name

KATHERINE

Middle

MARIE

Last Name

FOX

Business Name

KATHERINE MARIE FOX MD

Original Issue Date

08/08/2012

Effective Date

08/08/2012

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60647

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020