DANITA RENELSA FOX MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

ACTIVE

Business

Title

First Name

DANITA

Middle

RENELSA

Last Name

FOX

Business Name

DANITA RENELSA FOX MD

Original Issue Date

08/03/2016

Effective Date

06/22/2023

Expiration Date

07/31/2026

City

SWANSEA

State

Zip

62226

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/22/2023