ISRAEL VALDEZ FERNANDO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

NOT RENEWED

Business

Title

First Name

ISRAEL

Middle

VALDEZ

Last Name

FERNANDO

Business Name

ISRAEL VALDEZ FERNANDO MD

Original Issue Date

07/13/2000

Effective Date

06/12/2014

Expiration Date

07/31/2017

City

MOLINE

State

Zip

61265

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017