Alfonso Maximo Fuentes
Medical Board - 57.Md Training Certificate
Ohio 57.015920 Inactive
This Ohio license was held by Alfonso Maximo Fuentes. The license is no longer active. It was granted on 04/17/2009 and expired on 01/04/2010
LICENSE DETAILS
- License Number: 57.015920
- Category: 57.MD Training Certificate
- Status: Inactive
- Date Granted: 04/17/2009 (about 16 years ago)
- Expiry Date: 01/04/2010 (over 15 years ago)
LOCATIONS
A Practice Address
Ohio State University Hospital, c/o Corporate Credentialing, Attn: Anne Smith, 700 Ackerman Road Suite #570, Columbus, OH 43202