TAMI RAE FAHNLANDER DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047470

License Status

EXPIRED

Business

First Name

TAMI

Middle

RAE

Last Name

FAHNLANDER

Suffix

Business Name

TAMI RAE FAHNLANDER DO

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

08/12/2008

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

08/13/2008