GARY PATRICK FERNANDO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036128459

License Status

ACTIVE

Business

Title

First Name

GARY

Middle

PATRICK

Last Name

FERNANDO

Business Name

GARY PATRICK FERNANDO MD

Original Issue Date

07/12/2011

Effective Date

06/13/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61102

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

06/13/2023