NERISSA FERNANDES DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125079015

License Status

CANCELLED

Business

Title

First Name

NERISSA

Last Name

FERNANDES

Business Name

NERISSA FERNANDES DO

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2024

City

BUFFALO GROVE

State

Zip

60089

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/04/2021