GORDON A FUQUA MD AND Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042000772

License Status

NOT RENEWED

Business

Business Name

GORDON A FUQUA MD AND

Original Issue Date

01/01/1998

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006