SHANIK JOSEPH FERNANDO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125078930

License Status

EXPIRED

Business

Title

First Name

SHANIK

Middle

JOSEPH

Last Name

FERNANDO

Business Name

SHANIK JOSEPH FERNANDO MD

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2022

City

CHICAGO

State

Zip

60611

Specialty/Qualifier

Pediatric Otolaryngology

Ever Disciplined

LastModifiedDate

10/11/2022