JOSE R FERNANDEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036060326

License Status

NOT RENEWED

Business

First Name

JOSE R

Last Name

FERNANDEZ

Suffix

Business Name

JOSE R FERNANDEZ MD

Original Issue Date

05/16/1980

Effective Date

05/19/2014

Expiration Date

07/31/2017

City

NORWOOD PARK

State

Zip

60631

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017