License holder summary

FANNY MIFUN TAM is a Physician - Physician & Surgeon licensed to practice in Utah. The address on file for FANNY MIFUN TAM is SALT LAKE CITY, UT 84103. This licensed professional license is not current. The license was granted 06/13/1990 and expired on 12/31/1992.

Utah

Division of Occupational and Professional Licensing

FANNY MIFUN TAM
Physician - Physician & Surgeon
License number
182500-1205
Date granted
06/13/1990
Date expires
12/31/1992
Class
Physician - Physician & Surgeon
Status
Expired
Address
SALT LAKE CITY, UT 84103
utahlicensing.org
ID 29923621
LAST UPDATED 2026-06-02 02:19:09 UTC

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