License holder summary

Guang Fan is a Physician licensed to practice in Indiana. The address on file for Guang Fan is Greenwood IN 46142. This licensed professional license is not current. The license was granted 05/14/1999 and expired on 06/30/2003.

Indiana

Professional Licensing Agency

Guang Fan
Physician
License number
01050628A
Date granted
05/14/1999
Date expires
06/30/2003
Class
Physician
Status
Expired Non-Renewable
Address
Greenwood IN 46142
indianalicensing.org
ID 6058850
LAST UPDATED 2024-02-29 00:02:25 UTC

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