HARRY ALLEN FOZZARD MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040832

License Status

INACTIVE

Business

First Name

HARRY ALLEN

Last Name

FOZZARD

Suffix

Business Name

HARRY ALLEN FOZZARD MD

Original Issue Date

11/28/1966

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

DANA

State

Zip

28724

County

COOK

Ever Disciplined

LastModifiedDate

04/17/2008