DEANNA M FENOUGHTY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036085408

License Status

NOT RENEWED

Business

First Name

DEANNA M

Last Name

FENOUGHTY

Suffix

Business Name

DEANNA M FENOUGHTY MD

Original Issue Date

10/01/1992

Effective Date

10/01/1992

Expiration Date

07/31/2005

City

AVON

State

Zip

46123

County

INDIANA

Ever Disciplined

LastModifiedDate

10/09/2006