SUNITA JULIANA FERNS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****94

License Status

ACTIVE

Business

First Name

SUNITA

Middle

JULIANA

Last Name

FERNS

Suffix

Business Name

SUNITA JULIANA FERNS MD

Original Issue Date

04/12/2023

Effective Date

04/12/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61603

County

PEORIA

Controlled Substance Schedule

I II III IV V

Ever Disciplined

LastModifiedDate

04/12/2023