FERNANDO ANIBAL AMPUERO MEDINA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036066158

License Status

ACTIVE

Business

First Name

FERNANDO ANIBAL

Last Name

AMPUERO MEDINA

Suffix

Business Name

FERNANDO ANIBAL AMPUERO MEDINA MD

Original Issue Date

03/03/1983

Effective Date

07/12/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60623

County

COOK

Ever Disciplined

LastModifiedDate

07/12/2023