JON SCOTT FANTZ MD - Medical Doctor License in Georgia | # 036043495

JON SCOTT FANTZ MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036043495

License Status

INACTIVE

Business

N

First Name

JON SCOTT

Last Name

FANTZ

Suffix

MD

Business Name

JON SCOTT FANTZ MD

Original Issue Date

07/13/1970

Effective Date

07/13/1970

Expiration Date

07/31/1987

State

GA

Ever Disciplined

N

LastModifiedDate

09/20/2006