MANUEL FELIPE FERNANDEZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076319

License Status

CANCELLED

Business

Title

First Name

MANUEL

Middle

FELIPE

Last Name

FERNANDEZ

Business Name

MANUEL FELIPE FERNANDEZ MD

Original Issue Date

06/21/2020

Effective Date

06/21/2020

Expiration Date

06/20/2023

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

04/06/2020