ANTHONY L FANGMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101383

License Status

NOT RENEWED

Business

First Name

ANTHONY

Middle

Last Name

FANGMAN

Suffix

Business Name

ANTHONY L FANGMAN MD

Original Issue Date

09/30/1999

Effective Date

09/30/1999

Expiration Date

07/31/2002

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

10/09/2006