DEAN J FONDAHN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036066790

License Status

NOT RENEWED

Business

First Name

DEAN J

Last Name

FONDAHN

Suffix

Business Name

DEAN J FONDAHN MD

Original Issue Date

06/29/1983

Effective Date

06/26/2017

Expiration Date

09/30/2020

City

SARASOTA

State

Zip

34236

County

FLORIDA

Ever Disciplined

LastModifiedDate

01/14/2021