ALLIE ELIZABETH THOMAS-FANNIN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****52

License Status

ACTIVE

Business

Title

First Name

ALLIE

Middle

ELIZABETH

Last Name

THOMAS-FANNIN

Business Name

ALLIE ELIZABETH THOMAS-FANNIN MD

Original Issue Date

10/20/2023

Effective Date

10/20/2023

Expiration Date

07/31/2026

City

VINCENNES

State

Zip

47591

County

KNOX

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/20/2023