FREDERICA JO NANNI MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110047

License Status

NOT RENEWED

Business

First Name

FREDERICA

Middle

Last Name

NANNI

Suffix

Business Name

FREDERICA JO NANNI MD

Original Issue Date

09/03/2003

Effective Date

06/26/2017

Expiration Date

09/30/2020

City

CHRISTOPHER

State

Zip

62822

County

FRANKLIN

Ever Disciplined

LastModifiedDate

01/14/2021