SHANE R FANCHER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094339

License Status

ACTIVE

Business

First Name

SHANE R

Last Name

FANCHER

Suffix

Business Name

SHANE R FANCHER MD

Original Issue Date

10/09/1996

Effective Date

07/06/2023

Expiration Date

07/31/2026

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

07/06/2023