CATALINA A FERNALD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036093497

License Status

INACTIVE

Business

First Name

CATALINA A

Last Name

FERNALD

Business Name

CATALINA A FERNALD

Original Issue Date

07/11/1996

Effective Date

07/15/2008

Expiration Date

07/31/2011

City

MOKENA

State

Zip

60448

County

WILL

Ever Disciplined

LastModifiedDate

04/07/2011