MICHAEL A FUENTES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036070928

License Status

NOT RENEWED

Business

Title

First Name

MICHAEL

Middle

Last Name

FUENTES

Business Name

MICHAEL A FUENTES MD

Original Issue Date

06/24/1985

Effective Date

06/24/1985

Expiration Date

07/31/1990

City

DARIEN

State

Zip

06820

Ever Disciplined

LastModifiedDate

03/24/2007

Case Number

1997051164

Action

Suspension

Discipline Start Date

10/23/1998

Discipline Reason

Disciplined in Pennsylvania and Massachusetts.