SUSAN R FERNANDEZ Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125033573

License Status

EXPIRED

Business

First Name

SUSAN

Middle

Last Name

FERNANDEZ

Business Name

SUSAN R FERNANDEZ

Original Issue Date

06/26/1995

Effective Date

06/26/1995

Expiration Date

06/26/2000

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Neonatal-Perinatal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006