ROSAURA FERNANDEZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050995

License Status

CANCELLED

Business

First Name

ROSAURA

Last Name

FERNANDEZ

Suffix

Business Name

ROSAURA FERNANDEZ MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2010

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

06/29/2009