ALAN RICHARD FARK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124663

License Status

NOT RENEWED

Business

First Name

ALAN

Middle

RICHARD

Last Name

FARK

Suffix

Business Name

ALAN RICHARD FARK MD

Original Issue Date

11/24/2009

Effective Date

11/24/2009

Expiration Date

07/31/2011

City

MANISTEE

State

Zip

49660

County

MICHIGAN

Ever Disciplined

LastModifiedDate

11/14/2011