JASPER FERNANDEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****71

License Status

NOT RENEWED

Business

First Name

JASPER

Last Name

FERNANDEZ

Suffix

Business Name

JASPER FERNANDEZ MD

Original Issue Date

05/16/2007

Effective Date

06/27/2014

Expiration Date

07/31/2017

City

DECATUR

State

Zip

62526

County

MACON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017