HUMBERTO SIFUENTES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121980

License Status

NOT RENEWED

Business

First Name

HUMBERTO

Last Name

SIFUENTES

Suffix

Business Name

HUMBERTO SIFUENTES MD

Original Issue Date

09/22/2008

Effective Date

09/22/2008

Expiration Date

07/31/2011

City

AUGUSTA

State

Zip

30909

County

GEORGIA

Ever Disciplined

LastModifiedDate

11/14/2011