JAMES KENNETH FISK MD - Medical Doctor License in New Mexico | # 036038116

JAMES KENNETH FISK MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036038116

License Status

INACTIVE

Business

N

First Name

JAMES KENNETH

Last Name

FISK

Suffix

MD

Business Name

JAMES KENNETH FISK MD

Original Issue Date

09/28/1962

Effective Date

09/28/1962

Expiration Date

07/31/1999

State

NM

Ever Disciplined

N

LastModifiedDate

09/20/2006