FRED CHAMPAGNE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036043936

License Status

NOT RENEWED

Business

First Name

FRED

Last Name

CHAMPAGNE

Suffix

Business Name

FRED CHAMPAGNE MD

Original Issue Date

12/22/1970

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

WESTON

State

Zip

33327

County

FLORIDA

Ever Disciplined

LastModifiedDate

11/06/2008