CATALINA A FERNALD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031486

License Status

EXPIRED

Business

First Name

CATALINA A

Last Name

FERNALD

Business Name

CATALINA A FERNALD

Original Issue Date

05/25/1994

Effective Date

05/25/1994

Expiration Date

06/30/1997

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006