License holder summary

Shane R. Fancher is a Medical Residency Permit licensed to practice in Indiana. The address on file for Shane R. Fancher is Decatur IL 62521. This licensed professional license is not current. The license was granted 05/01/1992 and expired on 04/30/1994.

Indiana

Professional Licensing Agency

Shane R. Fancher
Medical Residency Permit
License number
11005977A
Date granted
05/01/1992
Date expires
04/30/1994
Class
Medical Residency Permit
Status
Expired
Address
Decatur IL 62521
indianalicensing.org
ID 5975097
LAST UPDATED 2024-02-17 17:20:25 UTC

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