NISHA HAZEL FERNANDES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036141040

License Status

NOT RENEWED

Business

Title

First Name

NISHA

Middle

HAZEL

Last Name

FERNANDES

Business Name

NISHA HAZEL FERNANDES MD

Original Issue Date

06/24/2016

Effective Date

09/30/2020

Expiration Date

07/31/2023

City

MINNEAPOLIS

State

Zip

55455

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023