MANUEL C FERNANDEZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125022554

License Status

EXPIRED

Business

First Name

MANUEL C

Last Name

FERNANDEZ

Suffix

Business Name

MANUEL C FERNANDEZ MD

Original Issue Date

05/27/1988

Effective Date

05/27/1988

Expiration Date

07/01/1991

City

EVANSTON

State

Zip

60202

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006