JOSEFINA P FUENTES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036064362

License Status

NOT RENEWED

Business

First Name

JOSEFINA P

Last Name

FUENTES

Suffix

Business Name

JOSEFINA P FUENTES MD

Original Issue Date

05/24/1982

Effective Date

05/24/1982

Expiration Date

07/31/1984

City

WEST FARMINGDALE

State

Zip

11735

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/20/2006