HENRY J FUENTES MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

ACTIVE

Business

First Name

HENRY

Middle

Last Name

FUENTES

Suffix

Business Name

HENRY J FUENTES MD

Original Issue Date

10/02/1985

Effective Date

05/20/2023

Expiration Date

07/31/2026

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/20/2023