BRIAN JESSE FOSTER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

NOT RENEWED

Business

Title

First Name

BRIAN

Middle

JESSE

Last Name

FOSTER

Business Name

BRIAN JESSE FOSTER MD

Original Issue Date

10/03/2017

Effective Date

10/03/2017

Expiration Date

09/30/2020

City

HUNTLEY

State

Zip

60142

County

KANE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021