BERNARDITO FABRES SERVILLAS MD - Medical Doctor License in Michigan | # 036111719

BERNARDITO FABRES SERVILLAS MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111719

License Status

INACTIVE

Business

N

First Name

BERNARDITO

Middle

FABRES

Last Name

SERVILLAS

Suffix

MD

Business Name

BERNARDITO FABRES SERVILLAS MD

Original Issue Date

06/29/2004

Effective Date

06/29/2004

Expiration Date

07/31/2005

State

MI

Ever Disciplined

N

LastModifiedDate

01/23/2007