ALBERT HENRY FORTMAN JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036033727

License Status

NOT RENEWED

Business

First Name

ALBERT HENRY

Last Name

FORTMAN JR

Suffix

Business Name

ALBERT HENRY FORTMAN JR MD

Original Issue Date

09/29/1955

Effective Date

09/29/1955

City

BISMARCK

State

Zip

58501

County

NORTH DAKOTA

Ever Disciplined

LastModifiedDate

09/20/2006