DOLORES R FERNANDEZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

ACTIVE

Business

First Name

DOLORES R

Last Name

FERNANDEZ

Suffix

Business Name

DOLORES R FERNANDEZ MD

Original Issue Date

10/22/1985

Effective Date

04/26/2023

Expiration Date

07/31/2026

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/26/2023