CRAYTON A FARGASON JR MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036077632

License Status

INACTIVE

Business

First Name

CRAYTON A

Last Name

FARGASON JR

Suffix

Business Name

CRAYTON A FARGASON JR MD

Original Issue Date

08/13/1988

Effective Date

08/13/1988

Expiration Date

07/31/1993

City

BIRMINGHAM

State

Zip

35243

County

ALABAMA

Ever Disciplined

LastModifiedDate

09/20/2006