GABRIEL CHRISTIAN FUQUA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036142096

License Status

ACTIVE

Business

First Name

GABRIEL

Middle

CHRISTIAN

Last Name

FUQUA

Suffix

Business Name

GABRIEL CHRISTIAN FUQUA MD

Original Issue Date

12/13/2016

Effective Date

05/09/2023

Expiration Date

07/31/2026

City

ARLINGTON HEIGHTS

State

Zip

60004

County

NEW YORK

Ever Disciplined

LastModifiedDate

01/14/2026