GERALD RICHARD FORTUNA JR MD - Medical Doctor License in Missouri | # 036145047

GERALD RICHARD FORTUNA JR MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036145047

License Status

NOT RENEWED

Business

N

Title

MD

First Name

GERALD

Middle

RICHARD

Last Name

FORTUNA

Suffix

JR

Business Name

GERALD RICHARD FORTUNA JR MD

Original Issue Date

02/06/2018

Effective Date

08/06/2020

Expiration Date

07/31/2023

State

MO

Ever Disciplined

N

LastModifiedDate

11/30/2023