DAVID EMERY FISK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059910

License Status

NOT RENEWED

Business

First Name

DAVID EMERY

Last Name

FISK

Suffix

Business Name

DAVID EMERY FISK MD

Original Issue Date

12/21/1979

Effective Date

12/21/1979

Expiration Date

07/31/1984

City

OFALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

09/20/2006