RAYMOND N FERNANDEZ Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

NOT RENEWED

Business

First Name

RAYMOND N

Last Name

FERNANDEZ

Business Name

RAYMOND N FERNANDEZ

Original Issue Date

03/05/1993

Effective Date

03/05/1993

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60616

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006