Alabama
Board of Licensing
Kristina Jo Fasig
Medical - Special Purpose License
License number
SP.66
Date granted
05/22/2013
Date expires
12/31/2015
Class
Medical - Special Purpose License
Status
Active
Address
Brentwood, Tennessee
alabamalicensing.org
ID 21387124
LAST UPDATED 2024-02-10 12:19:40 UTC
LAST UPDATED 2024-02-10 12:19:40 UTC
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