TIMOTHY LEWIS FERNANDEZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073896

License Status

CANCELLED

Business

Title

First Name

TIMOTHY

Middle

LEWIS

Last Name

FERNANDEZ

Business Name

TIMOTHY LEWIS FERNANDEZ MD

Original Issue Date

06/24/2019

Effective Date

06/24/2019

Expiration Date

06/23/2022

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

05/07/2019