BAOLIN FAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036101171

License Status

NOT RENEWED

Business

First Name

BAOLIN

Last Name

FAN

Suffix

Business Name

BAOLIN FAN MD

Original Issue Date

08/31/1999

Effective Date

08/31/1999

Expiration Date

07/31/2005

City

CHESTERFIELD

State

Zip

63005

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/09/2006