RICHARD P FERNANDEZ Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125044902

License Status

EXPIRED

Business

First Name

RICHARD

Middle

Last Name

FERNANDEZ

Business Name

RICHARD P FERNANDEZ

Original Issue Date

06/24/2002

Effective Date

06/24/2002

Expiration Date

06/23/2005

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006