TASHEEMA LANELL FAIR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036149990

License Status

NOT RENEWED

Business

Title

First Name

TASHEEMA

Middle

LANELL

Last Name

FAIR

Business Name

TASHEEMA LANELL FAIR MD

Original Issue Date

06/27/2019

Effective Date

06/27/2019

Expiration Date

09/30/2020

City

MARYVILLE

State

Zip

37803

Ever Disciplined

LastModifiedDate

01/14/2021