THELMA TANDINGAN FERNANDEZ MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

INACTIVE

Business

First Name

THELMA TANDINGAN

Last Name

FERNANDEZ

Suffix

Business Name

THELMA TANDINGAN FERNANDEZ MD

Original Issue Date

01/01/1997

Expiration Date

09/01/1982

City

MORTON GROVE

State

Zip

60053

County

COOK

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

09/26/2006