MELISSA L FERNANDES Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125041847

License Status

EXPIRED

Business

First Name

MELISSA

Middle

Last Name

FERNANDES

Business Name

MELISSA L FERNANDES

Original Issue Date

07/01/2000

Effective Date

07/01/2000

Expiration Date

07/31/2003

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006