JASPER FERNANDEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036118426

License Status

NOT RENEWED

Business

First Name

JASPER

Last Name

FERNANDEZ

Suffix

Business Name

JASPER FERNANDEZ MD

Original Issue Date

05/16/2007

Effective Date

06/27/2014

Expiration Date

07/31/2017

City

DECATUR

State

Zip

62526

County

MACON

Ever Disciplined

LastModifiedDate

11/01/2017