PATRICK S FERNANDES MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

ACTIVE

Business

First Name

PATRICK

Middle

Last Name

FERNANDES

Suffix

Business Name

PATRICK S FERNANDES MD

Original Issue Date

05/31/2000

Effective Date

06/08/2023

Expiration Date

07/31/2026

City

NORMAL

State

Zip

61761

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/08/2023