JUDY T FUENTEBELLA Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****33

License Status

NOT RENEWED

Business

First Name

JUDY

Middle

Last Name

FUENTEBELLA

Business Name

JUDY T FUENTEBELLA

Original Issue Date

08/04/2006

Effective Date

08/04/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

11/06/2008