EDWARD MANUEL FABELO II MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112102

License Status

NOT RENEWED

Business

First Name

EDWARD

Middle

MANUEL

Last Name

FABELO

Suffix

II MD

Business Name

EDWARD MANUEL FABELO II MD

Original Issue Date

08/12/2004

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

ST PETERSBURG

State

Zip

33716

Ever Disciplined

LastModifiedDate

11/06/2008