AIMEE C FERNANDO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

NOT RENEWED

Business

First Name

AIMEE

Middle

Last Name

FERNANDO

Business Name

AIMEE C FERNANDO

Original Issue Date

06/01/2005

Effective Date

06/01/2005

Expiration Date

07/31/2008

City

PARK RIDGE

State

Zip

60068

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008