ROBERT A FERNANDEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036088777

License Status

NOT RENEWED

Business

First Name

ROBERT A

Last Name

FERNANDEZ

Suffix

Business Name

ROBERT A FERNANDEZ MD

Original Issue Date

06/29/1994

Effective Date

06/29/1994

Expiration Date

07/31/1996

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/20/2006