JOSHUA KIRAN FERNANDES MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055631

License Status

CANCELLED

Business

Title

First Name

JOSHUA

Middle

KIRAN

Last Name

FERNANDES

Business Name

JOSHUA KIRAN FERNANDES MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

03/13/2009