ANMARY ALTAGRACIA FERNANDEZ B. MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036144586

License Status

NOT RENEWED

Business

Title

First Name

ANMARY

Middle

ALTAGRACIA

Last Name

FERNANDEZ B.

Business Name

ANMARY ALTAGRACIA FERNANDEZ B. MD

Original Issue Date

10/30/2017

Effective Date

10/30/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021