KENNETH L FOX DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****55

License Status

NOT RENEWED

Business

First Name

KENNETH

Middle

Last Name

FOX

Suffix

DPM

Business Name

KENNETH L FOX DPM

Original Issue Date

01/01/1998

Effective Date

01/29/2013

Expiration Date

01/31/2015

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/09/2015