ALAN RICHARD FARK MD - Medical Doctor License in Michigan | # 036124663

ALAN RICHARD FARK MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124663

License Status

NOT RENEWED

Business

N

First Name

ALAN

Middle

RICHARD

Last Name

FARK

Suffix

MD

Business Name

ALAN RICHARD FARK MD

Original Issue Date

11/24/2009

Effective Date

11/24/2009

Expiration Date

07/31/2011

State

MI

Ever Disciplined

N

LastModifiedDate

11/14/2011