ANDREW BERNARDO BERNALES MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069861

License Status

EXPIRED

Business

Title

First Name

ANDREW

Middle

BERNARDO

Last Name

BERNALES

Business Name

ANDREW BERNARDO BERNALES MD

Original Issue Date

06/26/2017

Effective Date

06/26/2017

Expiration Date

06/25/2020

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

11/19/2020