D J DE LA FUENTE MD AND MEG DE LA FUENTE MD SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042003731

License Status

NOT RENEWED

Business

Business Name

D J DE LA FUENTE MD AND MEG DE LA FUENTE MD SC

Original Issue Date

07/31/1979

Effective Date

11/17/2009

Expiration Date

01/01/2011

City

NORTHBROOK

State

Zip

60062

County

COOK

Ever Disciplined

LastModifiedDate

02/08/2011