MACEA EUGENE FUSSELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036040106

License Status

NOT RENEWED

Business

First Name

MACEA EUGENE

Last Name

FUSSELL

Suffix

Business Name

MACEA EUGENE FUSSELL MD

Original Issue Date

11/22/1965

Effective Date

11/22/1965

City

PORT HUENEVE

State

Zip

93043

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/20/2006