EMILY FONDAHN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036154478

License Status

ACTIVE

Business

Title

First Name

EMILY

Last Name

FONDAHN

Business Name

EMILY FONDAHN MD

Original Issue Date

10/09/2020

Effective Date

05/25/2023

Expiration Date

07/31/2026

City

COLUMBIA

State

Zip

65212

Ever Disciplined

LastModifiedDate

05/25/2023