JOHANNA C FUENTES-VALDES MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125041702

License Status

EXPIRED

Business

Title

First Name

JOHANNA

Middle

Last Name

FUENTES-VALDES

Business Name

JOHANNA C FUENTES-VALDES MD

Original Issue Date

06/24/2000

Effective Date

06/24/2000

Expiration Date

06/23/2003

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/30/2007