JOSE E FUENTE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125026724

License Status

EXPIRED

Business

First Name

JOSE E

Last Name

FUENTE

Business Name

JOSE E FUENTE

Original Issue Date

05/16/1991

Effective Date

05/16/1991

Expiration Date

06/25/1994

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006