JESSICA FOGLESONG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

ACTIVE

Business

Title

First Name

JESSICA

Last Name

FOGLESONG

Business Name

JESSICA FOGLESONG MD

Original Issue Date

10/25/2019

Effective Date

07/06/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60642

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/06/2023