JONATHAN M FOSS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

ACTIVE

Business

First Name

JONATHAN M

Last Name

FOSS

Suffix

Business Name

JONATHAN M FOSS MD

Original Issue Date

08/31/2000

Effective Date

04/08/2023

Expiration Date

07/31/2026

City

NORMAL

State

Zip

61761

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2023