FERNANDO AUGUSTO FERNANDEZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053630

License Status

EXPIRED

Business

First Name

FERNANDO

Middle

AUGUSTO

Last Name

FERNANDEZ

Suffix

Business Name

FERNANDO AUGUSTO FERNANDEZ MD

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

06/30/2010

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

10/25/2018