BARRY JAY FISHER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045436

License Status

NOT RENEWED

Business

First Name

BARRY JAY

Last Name

FISHER

Suffix

Business Name

BARRY JAY FISHER MD

Original Issue Date

02/04/1972

Effective Date

02/04/1972

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/20/2006