VANESSA GISSEL FUENTES MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000950

License Status

EXPIRED

Business

Title

First Name

VANESSA

Middle

GISSEL

Last Name

FUENTES

Business Name

VANESSA GISSEL FUENTES MD

Original Issue Date

08/02/2021

Effective Date

08/02/2021

Expiration Date

02/01/2022

City

GRANITE CITY

State

Zip

62040

County

MISSOURI

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

10/11/2022