PHILLIP FREDERIC FORTMEYER DC Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038003994

License Status

INACTIVE

Business

First Name

PHILLIP FREDERIC

Last Name

FORTMEYER

Suffix

Business Name

PHILLIP FREDERIC FORTMEYER DC

Original Issue Date

10/12/1979

Effective Date

10/12/1979

Expiration Date

07/31/1987

City

BIRMINGHAM

State

Zip

35217

County

ALABAMA

Ever Disciplined

LastModifiedDate

09/21/2006