PAULA B FUQUA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036044250

License Status

NOT RENEWED

Business

First Name

PAULA B

Last Name

FUQUA

Suffix

Business Name

PAULA B FUQUA MD

Original Issue Date

06/01/1971

Effective Date

07/01/2014

Expiration Date

07/31/2017

City

CRANSTON

State

Zip

02905

County

RHODE ISLAND

Ever Disciplined

LastModifiedDate

11/01/2017