ALICIA-MARIA FERNANDEZ DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****40

License Status

NOT RENEWED

Business

First Name

ALICIA-MARIA

Last Name

FERNANDEZ

Suffix

Business Name

ALICIA-MARIA FERNANDEZ DO

Original Issue Date

02/06/2020

Effective Date

02/06/2020

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60632

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021