S ANNE FIFER Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125017998

License Status

EXPIRED

Business

First Name

S ANNE

Last Name

FIFER

Business Name

S ANNE FIFER

Original Issue Date

06/13/1985

Effective Date

06/13/1985

Expiration Date

05/01/1987

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006