DEBORAH M FERNON DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023175

License Status

EXPIRED

Business

First Name

DEBORAH M

Last Name

FERNON

Suffix

Business Name

DEBORAH M FERNON DO

Original Issue Date

10/05/1988

Effective Date

10/05/1988

Expiration Date

10/01/1991

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

09/22/2006