FERNANDO IRIZARRY Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125037260

License Status

EXPIRED

Business

First Name

FERNANDO

Last Name

IRIZARRY

Business Name

FERNANDO IRIZARRY

Original Issue Date

01/07/1998

Effective Date

01/07/1998

Expiration Date

01/06/2001

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006