EUGENE DOMINIC FERNANDES MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

ACTIVE

Business

Title

First Name

EUGENE

Middle

DOMINIC

Last Name

FERNANDES

Business Name

EUGENE DOMINIC FERNANDES MD

Original Issue Date

01/03/2018

Effective Date

07/08/2023

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/08/2023