SONJAY JOSEPH FONN DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

NOT RENEWED

Business

First Name

SONJAY

Middle

JOSEPH

Last Name

FONN

Suffix

Business Name

SONJAY JOSEPH FONN DO

Original Issue Date

02/01/2012

Effective Date

07/28/2017

Expiration Date

09/30/2020

City

CAPE GIRARDEAU

State

Zip

63703

County

MISSOURI

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021