FERNANDA ELIZABETH ASMA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****97

License Status

NOT RENEWED

Business

First Name

FERNANDA

Middle

ELIZABETH

Last Name

ASMA

Suffix

Business Name

FERNANDA ELIZABETH ASMA MD

Original Issue Date

01/01/1997

Effective Date

08/01/2011

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60614

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014