GERARD MARI FERNANDEZ LIBRODO MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000166

License Status

CANCELLED

Business

First Name

GERARD MARI

Middle

FERNANDEZ

Last Name

LIBRODO

Suffix

Business Name

GERARD MARI FERNANDEZ LIBRODO MD

Original Issue Date

08/12/2002

Effective Date

08/12/2002

Expiration Date

06/30/2003

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

07/12/2007