JOSE FERNANDEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036033407

License Status

NOT RENEWED

Business

First Name

JOSE

Last Name

FERNANDEZ

Suffix

Business Name

JOSE FERNANDEZ MD

Original Issue Date

05/20/1955

Effective Date

05/20/1955

Expiration Date

07/01/1982

City

CHICAGO HEIGHTS

State

Zip

60411

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006