MARCO A FERNANDEZ Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****89

License Status

ACTIVE

Business

First Name

MARCO

Middle

Last Name

FERNANDEZ

Business Name

MARCO A FERNANDEZ

Original Issue Date

07/21/2022

Effective Date

06/21/2023

Expiration Date

07/31/2026

City

LAKE IN THE HILLS

State

Zip

60156

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/21/2023