ANTHONY PATRICK FERNANDEZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125049575

License Status

EXPIRED

Business

First Name

ANTHONY

Middle

PATRICK

Last Name

FERNANDEZ

Suffix

Business Name

ANTHONY PATRICK FERNANDEZ MD

Original Issue Date

06/22/2005

Effective Date

06/22/2005

Expiration Date

06/21/2006

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006