SUSAN REYNOLDS FOX Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****91

License Status

ACTIVE

Business

First Name

SUSAN

Middle

REYNOLDS

Last Name

FOX

Business Name

SUSAN REYNOLDS FOX

Original Issue Date

11/17/2004

Effective Date

01/16/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60612

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/16/2026