JUDY T FUENTEBELLA Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047038

License Status

EXPIRED

Business

First Name

JUDY

Middle

Last Name

FUENTEBELLA

Business Name

JUDY T FUENTEBELLA

Original Issue Date

07/15/2003

Effective Date

07/15/2003

Expiration Date

07/14/2006

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006