QING IVY FAN
Department Of Health - Medical Doctor
Florida ME101481 Voided
This Florida license was held by QING IVY FAN. The license is no longer active. It was granted on 06/01/2002 and expired on 01/31/2010
LICENSE DETAILS
- License Number: ME101481
- Category: Medical Doctor
- Status: Voided
- Date Granted: 06/01/2002 (almost 22 years ago)
- Expiry Date: 01/31/2010 (about 14 years ago)
LOCATIONS
A Primary Practice Address
771 MADISON STREET, CLARKSVILLE, TN 37043