ALLISON GINA FAHY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130408

License Status

NOT RENEWED

Business

Title

First Name

ALLISON

Middle

GINA

Last Name

FAHY

Business Name

ALLISON GINA FAHY MD

Original Issue Date

05/24/2012

Effective Date

08/12/2014

Expiration Date

07/31/2017

City

MILWAUKEE

State

Zip

53202

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/01/2017