DENNIS FRANKLIN FANCSALI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036037287

License Status

NOT RENEWED

Business

First Name

DENNIS FRANKLIN

Last Name

FANCSALI

Suffix

Business Name

DENNIS FRANKLIN FANCSALI MD

Original Issue Date

09/13/1961

Effective Date

04/11/2011

Expiration Date

07/31/2014

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

06/05/2017

Case Number

2016008377

Action

Refuse To Renew

Discipline Start Date

02/13/2017

Discipline Reason

based on failure to reply to a mandatory report of a medical malpractice settlement and allegations of negligent performance of wrist surgery.