KENNETH L FOX DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****61

License Status

NOT RENEWED

Business

First Name

KENNETH

Middle

Last Name

FOX

Suffix

DPM

Business Name

KENNETH L FOX DPM

Original Issue Date

02/03/2010

Effective Date

01/25/2011

Expiration Date

01/31/2013

City

CHICAGO

State

Zip

60670

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/20/2013