WILLIAM CIFUENTES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076348

License Status

NOT RENEWED

Business

First Name

WILLIAM

Last Name

CIFUENTES

Suffix

Business Name

WILLIAM CIFUENTES MD

Original Issue Date

11/10/1987

Effective Date

07/27/2017

Expiration Date

09/30/2020

City

MAHOMET

State

Zip

61853

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

01/14/2021