EMILY S FERNANDEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036126225

License Status

NOT RENEWED

Business

Title

First Name

EMILY

Middle

Last Name

FERNANDEZ

Business Name

EMILY S FERNANDEZ MD

Original Issue Date

07/08/2010

Effective Date

07/26/2011

Expiration Date

07/31/2014

City

WATSEKA

State

Zip

60970

County

IROQUOIS

Ever Disciplined

LastModifiedDate

11/17/2014