TARYN KLINE FERNANDES MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071000

License Status

CANCELLED

Business

Title

First Name

TARYN

Middle

KLINE

Last Name

FERNANDES

Business Name

TARYN KLINE FERNANDES MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2020

City

NORTH CHICAGO

State

Zip

60064

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

10/10/2024

Case Number

2019001805

Action

Refuse To Renew

Discipline Start Date

08/29/2022

Discipline Reason

temporary medical permit placed in refuse to renew status due to respondent's dismissal from a residency program while not in good standing.