RAJEEV RUBEN FERNANDO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

NOT RENEWED

Business

Title

First Name

RAJEEV

Middle

RUBEN

Last Name

FERNANDO

Business Name

RAJEEV RUBEN FERNANDO MD

Original Issue Date

03/26/2015

Effective Date

03/26/2015

Expiration Date

07/31/2017

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017