TERRANCE N FISHER MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036044248

License Status

INACTIVE

Business

First Name

TERRANCE N

Last Name

FISHER

Suffix

Business Name

TERRANCE N FISHER MD

Original Issue Date

06/01/1971

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

04/07/2011