FERNANDO AUGUSTO FERNANDEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124350

License Status

NOT RENEWED

Business

First Name

FERNANDO

Middle

AUGUSTO

Last Name

FERNANDEZ

Suffix

Business Name

FERNANDO AUGUSTO FERNANDEZ MD

Original Issue Date

09/08/2009

Effective Date

09/08/2009

Expiration Date

07/31/2011

City

MELROSE PARK

State

Zip

60164

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011