GASPAR MIGUEL FERNANDEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

NOT RENEWED

Business

First Name

GASPAR

Middle

MIGUEL

Last Name

FERNANDEZ

Suffix

Business Name

GASPAR MIGUEL FERNANDEZ MD

Original Issue Date

07/12/1994

Effective Date

06/11/2008

Expiration Date

07/31/2011

City

QUINCY

State

Zip

62305

County

ADAMS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017