G R M FERNANDO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057235

License Status

NOT RENEWED

Business

First Name

G R M

Last Name

FERNANDO

Suffix

Business Name

G R M FERNANDO MD

Original Issue Date

07/24/1978

Effective Date

07/24/1978

Expiration Date

07/31/1987

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006