KWAME G FOUCHER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

ACTIVE

Business

First Name

KWAME

Middle

Last Name

FOUCHER

Suffix

Business Name

KWAME G FOUCHER MD

Original Issue Date

08/31/2005

Effective Date

07/25/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60653

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/25/2023