MARYANN T FUMO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036077667

License Status

NOT RENEWED

Business

First Name

MARYANN T

Last Name

FUMO

Suffix

Business Name

MARYANN T FUMO MD

Original Issue Date

08/13/1988

Effective Date

08/13/1988

Expiration Date

07/31/1990

City

MICHIGAN CITY

State

Zip

46360

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006