GABRIEL CHRISTIAN FUQUA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

ACTIVE

Business

First Name

GABRIEL

Middle

CHRISTIAN

Last Name

FUQUA

Suffix

Business Name

GABRIEL CHRISTIAN FUQUA MD

Original Issue Date

12/13/2016

Effective Date

05/09/2023

Expiration Date

07/31/2026

City

WOODSTOCK

State

Zip

60098

County

MCHENRY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2023