MARIO BENJAMIN FERNANDEZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125052865

License Status

EXPIRED

Business

First Name

MARIO

Middle

BENJAMIN

Last Name

FERNANDEZ

Suffix

Business Name

MARIO BENJAMIN FERNANDEZ MD

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2010

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

07/08/2010