BAOLIN FAN MD - Medical Doctor License in Missouri | # 036101171

BAOLIN FAN MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101171

License Status

NOT RENEWED

Business

N

First Name

BAOLIN

Last Name

FAN

Suffix

MD

Business Name

BAOLIN FAN MD

Original Issue Date

08/31/1999

Effective Date

08/31/1999

Expiration Date

07/31/2005

State

MO

Ever Disciplined

N

LastModifiedDate

10/09/2006