VIVIAN R BARBARA DE FERNANDEZ Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036085763

License Status

INACTIVE

Business

First Name

VIVIAN R

Last Name

BARBARA DE FERNANDEZ

Business Name

VIVIAN R BARBARA DE FERNANDEZ

Original Issue Date

01/07/1993

Effective Date

01/07/1993

Expiration Date

07/31/1993

City

ATLANTA

State

Zip

30322

County

GEORGIA

Ever Disciplined

LastModifiedDate

09/20/2006