GARY RAY NORCIO FERNANDEZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062008

License Status

CANCELLED

Business

Title

First Name

GARY RAY

Middle

NORCIO

Last Name

FERNANDEZ

Business Name

GARY RAY NORCIO FERNANDEZ MD

Original Issue Date

06/25/2012

Effective Date

06/25/2012

Expiration Date

06/24/2015

City

CHICAGO

State

Zip

60614

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

03/24/2014