JOSE R FERNANDEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****95

License Status

NOT RENEWED

Business

First Name

JOSE R

Last Name

FERNANDEZ

Suffix

Business Name

JOSE R FERNANDEZ MD

Original Issue Date

01/01/1997

Effective Date

05/20/2014

Expiration Date

07/31/2017

City

NORWOOD PARK

State

Zip

60631

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017