FAITH DOMINGO FUENTES Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076759

License Status

NOT RENEWED

Business

First Name

FAITH DOMINGO

Last Name

FUENTES

Business Name

FAITH DOMINGO FUENTES

Original Issue Date

03/05/1988

Effective Date

03/05/1988

Expiration Date

07/31/1999

City

MIDLAND

State

Zip

48640

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/20/2006