MING FAN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110079

License Status

INACTIVE

Business

First Name

MING

Last Name

FAN

Suffix

Business Name

MING FAN MD

Original Issue Date

09/09/2003

Effective Date

09/09/2003

Expiration Date

07/31/2005

City

BELLEVUE

State

Zip

98006

County

WASHINGTON

Ever Disciplined

LastModifiedDate

10/09/2006