MICHAEL M FANOUS DPM Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004221

License Status

INACTIVE

Business

First Name

MICHAEL M

Last Name

FANOUS

Suffix

DPM

Business Name

MICHAEL M FANOUS DPM

Original Issue Date

01/20/1988

Effective Date

01/20/1988

Expiration Date

01/31/1989

City

LAGUNA HILLS

State

Zip

92653

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/25/2006