GARY L FANNING MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036082511

License Status

INACTIVE

Business

First Name

GARY L

Last Name

FANNING

Suffix

Business Name

GARY L FANNING MD

Original Issue Date

06/01/1991

Effective Date

04/08/2011

Expiration Date

07/31/2014

City

APPLE VALLEY

State

Zip

55124

County

MINNESOTA

Ever Disciplined

LastModifiedDate

04/08/2014