JOHN M FENNIG MD - Medical Doctor License in Missouri | # 036112656

JOHN M FENNIG MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112656

License Status

NOT RENEWED

Business

N

First Name

JOHN

Middle

M

Last Name

FENNIG

Suffix

MD

Business Name

JOHN M FENNIG MD

Original Issue Date

11/15/2004

Effective Date

07/31/2006

Expiration Date

07/31/2008

State

MO

Ever Disciplined

N

LastModifiedDate

11/06/2008