STEWART FOX MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

NOT RENEWED

Business

First Name

STEWART

Last Name

FOX

Suffix

Business Name

STEWART FOX MD

Original Issue Date

04/19/1990

Effective Date

04/19/1990

Expiration Date

07/31/1993

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006