ANTHONY M FERNANDEZ Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109979

License Status

INACTIVE

Business

First Name

ANTHONY

Middle

Last Name

FERNANDEZ

Business Name

ANTHONY M FERNANDEZ

Original Issue Date

08/25/2003

Effective Date

04/12/2017

Expiration Date

09/30/2020

City

WOODRIDGE

State

Zip

60517

County

DUPAGE

Ever Disciplined

LastModifiedDate

01/14/2021