IMOGENE FAIRCHILD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041673

License Status

NOT RENEWED

Business

First Name

IMOGENE

Last Name

FAIRCHILD

Suffix

Business Name

IMOGENE FAIRCHILD MD

Original Issue Date

04/26/1968

Effective Date

04/26/1968

City

MT. PLEASANT

State

Zip

52741

County

IOWA

Ever Disciplined

LastModifiedDate

09/20/2006