DOUGLAS JAY FOULKE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****68

License Status

NOT RENEWED

Business

First Name

DOUGLAS JAY

Last Name

FOULKE

Suffix

Business Name

DOUGLAS JAY FOULKE MD

Original Issue Date

01/01/1997

Effective Date

07/21/2014

Expiration Date

07/31/2017

City

ELGIN

State

Zip

60124

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017