MICHAEL B FERNANDO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036091786

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

Last Name

FERNANDO

Suffix

Business Name

MICHAEL B FERNANDO MD

Original Issue Date

09/07/1995

Effective Date

06/23/2008

Expiration Date

07/31/2011

City

MARSHALL

State

Zip

56258

County

MINNESOTA

Ever Disciplined

LastModifiedDate

11/14/2011

Case Number

2009007112

Action

Reprimand

Discipline Start Date

06/15/2010

Discipline Reason

after engaged in unprofessional conduct by allowing a third party to use his HFS provider number.