KAREN SOFIA FERNANDEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****50

License Status

NOT RENEWED

Business

First Name

KAREN

Middle

SOFIA

Last Name

FERNANDEZ

Suffix

Business Name

KAREN SOFIA FERNANDEZ MD

Original Issue Date

06/18/2009

Effective Date

05/09/2014

Expiration Date

07/31/2017

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017