BENEDICTO ANGNELO FERNANDES MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125067827

License Status

EXPIRED

Business

Title

First Name

BENEDICTO

Middle

ANGNELO

Last Name

FERNANDES

Business Name

BENEDICTO ANGNELO FERNANDES MD

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2018

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

10/25/2018