HENRY J FUENTES MD SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042007641

License Status

NOT RENEWED

Business

Business Name

HENRY J FUENTES MD SC

Original Issue Date

10/19/1995

Effective Date

10/19/1995

Expiration Date

01/01/2005

City

ORLAND PARK

State

Zip

60462

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006