AMELIA C FERNANDO MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045206

License Status

INACTIVE

Business

First Name

AMELIA C

Last Name

FERNANDO

Suffix

Business Name

AMELIA C FERNANDO MD

Original Issue Date

02/04/1972

Effective Date

02/04/1972

Expiration Date

07/31/2005

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006