BERNARDITO FABRES SERVILLAS MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111719

License Status

INACTIVE

Business

First Name

BERNARDITO

Middle

FABRES

Last Name

SERVILLAS

Suffix

Business Name

BERNARDITO FABRES SERVILLAS MD

Original Issue Date

06/29/2004

Effective Date

06/29/2004

Expiration Date

07/31/2005

City

ST JOSEPH

State

Zip

49085

County

MICHIGAN

Ever Disciplined

LastModifiedDate

01/23/2007