GERALD RICHARD FORTUNA JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036145047

License Status

NOT RENEWED

Business

Title

First Name

GERALD

Middle

RICHARD

Last Name

FORTUNA

Suffix

Business Name

GERALD RICHARD FORTUNA JR MD

Original Issue Date

02/06/2018

Effective Date

08/06/2020

Expiration Date

07/31/2023

City

ST LOUIS

State

Zip

63110

Ever Disciplined

LastModifiedDate

11/30/2023