BRIAN LEE FOX DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

NOT RENEWED

Business

First Name

BRIAN

Middle

LEE

Last Name

FOX

Suffix

Business Name

BRIAN LEE FOX DO

Original Issue Date

05/10/2000

Effective Date

05/10/2000

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60633

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008