FE POBLETE FUENTES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058510

License Status

NOT RENEWED

Business

First Name

Middle

POBLETE

Last Name

FUENTES

Suffix

Business Name

FE POBLETE FUENTES MD

Original Issue Date

03/22/1979

Effective Date

07/01/2014

Expiration Date

07/31/2017

City

CHESTERFIELD

State

Zip

63017

Ever Disciplined

LastModifiedDate

11/14/2020

Case Number

1992003394

Action

Probation

Discipline Start Date

03/09/1993

Discipline End Date

12/07/1995

Discipline Reason

Disciplined in Ohio.