FANG PAN SU MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036052352

License Status

INACTIVE

Business

First Name

FANG PAN

Last Name

Suffix

Business Name

FANG PAN SU MD

Original Issue Date

02/13/1976

Effective Date

02/13/1976

Expiration Date

07/31/1987

City

WESTERLY

State

Zip

02891

County

RHODE ISLAND

Ever Disciplined

LastModifiedDate

09/20/2006