JAMES K FORTSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036072588

License Status

NOT RENEWED

Business

First Name

JAMES K

Last Name

FORTSON

Suffix

Business Name

JAMES K FORTSON MD

Original Issue Date

04/21/1986

Effective Date

04/21/1986

Expiration Date

07/31/1987

City

KEOKUK

State

Zip

52632

County

IOWA

Ever Disciplined

LastModifiedDate

09/20/2006