DALE H FOSTER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

NOT RENEWED

Business

First Name

DALE H

Last Name

FOSTER

Suffix

Business Name

DALE H FOSTER MD

Original Issue Date

02/24/1983

Effective Date

02/24/1983

Expiration Date

07/31/2008

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017