FERNANDO L GONZALEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

NOT RENEWED

Business

Title

First Name

FERNANDO

Middle

Last Name

GONZALEZ

Business Name

FERNANDO L GONZALEZ MD

Original Issue Date

04/18/2019

Effective Date

06/18/2020

Expiration Date

07/31/2023

City

MATTOON

State

Zip

61938

County

COLES

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023