S L FUENTES M D D M Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042000875

License Status

NOT RENEWED

Business

Business Name

S L FUENTES M D D M

Original Issue Date

01/01/1998

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

09/26/2006