GORDON A FUQUA MD AND - Medical Corporation License in Illinois | # 042000772

GORDON A FUQUA MD AND

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042000772

License Status

NOT RENEWED

Business

Y

Business Name

GORDON A FUQUA MD AND

Original Issue Date

01/01/1998

State

IL

Ever Disciplined

N

LastModifiedDate

09/26/2006