TIMOTHY JAMES VON FANGE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121122

License Status

NOT RENEWED

Business

Title

First Name

TIMOTHY

Middle

JAMES

Last Name

VON FANGE

Business Name

TIMOTHY JAMES VON FANGE MD

Original Issue Date

06/06/2008

Effective Date

06/06/2008

Expiration Date

07/31/2011

City

CARMEL

State

Zip

46032

Ever Disciplined

LastModifiedDate

11/14/2011