FERNANDO D FERNANDEZ Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125040462

License Status

EXPIRED

Business

First Name

FERNANDO

Middle

Last Name

FERNANDEZ

Business Name

FERNANDO D FERNANDEZ

Original Issue Date

08/01/1999

Effective Date

08/01/1999

Expiration Date

11/14/2002

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

09/22/2006