RICHARD FLORY FERNANDEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****07

License Status

NOT RENEWED

Business

First Name

RICHARD

Middle

FLORY

Last Name

FERNANDEZ

Suffix

Business Name

RICHARD FLORY FERNANDEZ MD

Original Issue Date

01/17/2003

Effective Date

01/17/2003

Expiration Date

07/31/2005

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006