JAMES FANNING DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036080183

License Status

NOT RENEWED

Business

First Name

JAMES

Last Name

FANNING

Suffix

Business Name

JAMES FANNING DO

Original Issue Date

07/02/1990

Effective Date

07/02/1990

Expiration Date

07/31/1996

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/25/2018