MARY LEE FUGINA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

NOT RENEWED

Business

First Name

MARY LEE

Last Name

FUGINA

Suffix

Business Name

MARY LEE FUGINA MD

Original Issue Date

12/31/1987

Effective Date

08/20/2020

Expiration Date

07/31/2023

City

NORTH BARRINGTON

State

Zip

60010

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023