SHANE R FANCHER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

ACTIVE

Business

First Name

SHANE R

Last Name

FANCHER

Suffix

Business Name

SHANE R FANCHER MD

Original Issue Date

12/04/1996

Effective Date

07/06/2023

Expiration Date

07/31/2026

City

DECATUR

State

Zip

62521

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/06/2023