GOLDWYN B FOGGIE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

ACTIVE

Business

First Name

GOLDWYN B

Last Name

FOGGIE

Suffix

Business Name

GOLDWYN B FOGGIE MD

Original Issue Date

03/31/1997

Effective Date

07/05/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60643

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/05/2023