License holder summary

RAY GERVACIO FUENTES BLANCO is a Medical Physician And Surgeon licensed to practice in Pennsylvania. The address on file for RAY GERVACIO FUENTES BLANCO is Yonkers NY 10705. This medical practitioner license is not current. The license was granted 05/26/2005 and expired on 12/31/2006.

Department of State

Board of Medicine

RAY GERVACIO FUENTES BLANCO
Medical Physician And Surgeon
License number
MD426578
Date granted
05/26/2005
Date expires
12/31/2006
Class
Medical Physician And Surgeon
Status
Inactive
Address
Yonkers NY 10705
medicinepa.com
ID 37590919
LAST UPDATED 2026-06-21 21:20:10 UTC

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