BALBINO B FERNANDEZ MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041266

License Status

INACTIVE

Business

First Name

BALBINO B

Last Name

FERNANDEZ

Suffix

Business Name

BALBINO B FERNANDEZ MD

Original Issue Date

08/07/1967

Effective Date

05/06/2011

Expiration Date

07/31/2014

City

NORTHBROOK

State

Zip

60062

County

COOK

Ever Disciplined

LastModifiedDate

04/08/2014