DIANE L FABRICIUS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036067013

License Status

INACTIVE

Business

First Name

DIANE L

Last Name

FABRICIUS

Suffix

Business Name

DIANE L FABRICIUS MD

Original Issue Date

07/21/1983

Effective Date

07/21/1983

Expiration Date

07/31/1999

City

OAK RIDGE

State

Zip

37830

County

TENNESSEE

Ever Disciplined

LastModifiedDate

09/20/2006