EDUARDO FERNANDES MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062443

License Status

CANCELLED

Business

Title

First Name

EDUARDO

Last Name

FERNANDES

Business Name

EDUARDO FERNANDES MD

Original Issue Date

01/14/2016

Effective Date

01/14/2016

Expiration Date

01/13/2019

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

07/29/2016