BRIAN LEE FOX DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101818

License Status

INACTIVE

Business

First Name

BRIAN

Middle

LEE

Last Name

FOX

Suffix

Business Name

BRIAN LEE FOX DO

Original Issue Date

01/18/2000

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

MERRILLVILLE

State

Zip

46410

County

LAKE

Ever Disciplined

LastModifiedDate

06/16/2009