SERGIO LUIS FUENTES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036032822

License Status

NOT RENEWED

Business

First Name

SERGIO LUIS

Last Name

FUENTES

Suffix

Business Name

SERGIO LUIS FUENTES MD

Original Issue Date

07/22/1954

Effective Date

07/22/1954

Expiration Date

07/31/1987

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

09/20/2006