EPIFANIA S FERNANDEZ MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051628

License Status

INACTIVE

Business

First Name

EPIFANIA S

Last Name

FERNANDEZ

Suffix

Business Name

EPIFANIA S FERNANDEZ MD

Original Issue Date

08/15/1975

Effective Date

08/15/1975

Expiration Date

07/31/1987

City

ANAHEIM

State

Zip

92804

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/20/2006