JAMES KENNETH FISK MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036038116

License Status

INACTIVE

Business

First Name

JAMES KENNETH

Last Name

FISK

Suffix

Business Name

JAMES KENNETH FISK MD

Original Issue Date

09/28/1962

Effective Date

09/28/1962

Expiration Date

07/31/1999

City

FARMINGTON

State

Zip

87401

County

NEW MEXICO

Ever Disciplined

LastModifiedDate

09/20/2006