THOMAS R FANN Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002878

License Status

NOT RENEWED

Business

First Name

THOMAS R

Last Name

FANN

Business Name

THOMAS R FANN

Original Issue Date

06/24/1976

Effective Date

06/24/1976

Expiration Date

07/01/1982

City

WINTER PARK

State

Zip

32792

County

FLORIDA

Ever Disciplined

LastModifiedDate

09/25/2006