ALLISON GINA FAHY MD - Medical Doctor License in Wisconsin | # 036130408

ALLISON GINA FAHY MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130408

License Status

NOT RENEWED

Business

N

Title

MD

First Name

ALLISON

Middle

GINA

Last Name

FAHY

Business Name

ALLISON GINA FAHY MD

Original Issue Date

05/24/2012

Effective Date

08/12/2014

Expiration Date

07/31/2017

State

WI

Ever Disciplined

N

LastModifiedDate

11/01/2017