LUIS G FERNANDEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

NOT RENEWED

Business

Title

First Name

LUIS

Middle

Last Name

FERNANDEZ

Business Name

LUIS G FERNANDEZ MD

Original Issue Date

06/20/1989

Effective Date

06/20/1989

Expiration Date

07/31/1996

City

PARK RIDGE

State

Zip

60068

County

COOK

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

04/07/2011