BRIAN D FAIRFAX MD - Medical Doctor License in Arizona | # 036050441

BRIAN D FAIRFAX MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036050441

License Status

NOT RENEWED

Business

N

First Name

BRIAN D

Last Name

FAIRFAX

Suffix

MD

Business Name

BRIAN D FAIRFAX MD

Original Issue Date

01/30/1975

Effective Date

01/30/1975

State

AZ

Ever Disciplined

N

LastModifiedDate

09/20/2006