KENNETH L FOX DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002475

License Status

NOT RENEWED

Business

First Name

KENNETH

Middle

Last Name

FOX

Suffix

DPM

Business Name

KENNETH L FOX DPM

Original Issue Date

08/13/1965

Effective Date

01/29/2013

Expiration Date

01/31/2015

City

CHICAGO

State

Zip

60620

County

COOK

Ever Disciplined

LastModifiedDate

03/09/2015