License holder summary

BRIAN M FONSECA is a Medicine - Medical Doctor Educational Limited licensed to practice in Michigan. This medical licensee license is not current. The license was granted 06/18/2004 and expired on 06/30/2007.

Department of Licensing and Regulatory Affairs

Board of Medicine

BRIAN M FONSECA
Medicine - Medical Doctor Educational Limited
License number
4301083826
Date granted
06/18/2004
Date expires
06/30/2007
Class
Medicine - Medical Doctor Educational Limited
Status
Lapsed
Address
michiganmedical.net
ID 38963003
LAST UPDATED 2024-02-29 11:09:08 UTC

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