FRED CHAMPAGNE MD - Medical Doctor License in Florida | # 036043936

FRED CHAMPAGNE MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036043936

License Status

NOT RENEWED

Business

N

First Name

FRED

Last Name

CHAMPAGNE

Suffix

MD

Business Name

FRED CHAMPAGNE MD

Original Issue Date

12/22/1970

Effective Date

07/31/2006

Expiration Date

07/31/2008

State

FL

Ever Disciplined

N

LastModifiedDate

11/06/2008