JORGE E FERNALD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

ACTIVE

Business

First Name

JORGE

Middle

Last Name

FERNALD

Suffix

Business Name

JORGE E FERNALD MD

Original Issue Date

06/02/1997

Effective Date

05/23/2023

Expiration Date

07/31/2026

City

TINLEY PARK

State

Zip

60477

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/23/2023