PETER EDWIN P FERNANDO MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036073698

License Status

INACTIVE

Business

First Name

PETER EDWIN P

Last Name

FERNANDO

Suffix

Business Name

PETER EDWIN P FERNANDO MD

Original Issue Date

09/09/1986

Effective Date

09/09/1986

Expiration Date

07/31/1987

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

08/29/2023