CARLO FERNANDES DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****64

License Status

NOT RENEWED

Business

Title

First Name

CARLO

Last Name

FERNANDES

Business Name

CARLO FERNANDES DO

Original Issue Date

01/03/2020

Effective Date

01/03/2020

Expiration Date

09/30/2020

City

RIVER FOREST

State

Zip

60305

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021