GENE V FEDOR MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036090234

License Status

INACTIVE

Business

First Name

GENE V

Last Name

FEDOR

Suffix

Business Name

GENE V FEDOR MD

Original Issue Date

02/25/1995

Effective Date

02/25/1995

Expiration Date

07/31/1996

City

MUNSTER

State

Zip

46321

County

INDIANA

Ever Disciplined

LastModifiedDate

09/20/2006