ABRAHAM EMPERADOR FONTANILLA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036126637

License Status

NOT RENEWED

Business

Title

First Name

ABRAHAM

Middle

EMPERADOR

Last Name

FONTANILLA

Business Name

ABRAHAM EMPERADOR FONTANILLA MD

Original Issue Date

09/08/2010

Effective Date

05/22/2014

Expiration Date

07/31/2017

City

WATSEKA

State

Zip

60970

County

IROQUOIS

Ever Disciplined

LastModifiedDate

11/01/2017