JAN ALAN FAWCETT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040712

License Status

NOT RENEWED

Business

First Name

JAN ALAN

Last Name

FAWCETT

Suffix

Business Name

JAN ALAN FAWCETT MD

Original Issue Date

09/01/1966

Effective Date

07/07/2014

Expiration Date

07/31/2017

City

SANTA FE

State

Zip

87505

County

NEW MEXICO

Ever Disciplined

LastModifiedDate

11/01/2017