GASPAR MIGUEL FERNANDEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036088773

License Status

NOT RENEWED

Business

First Name

GASPAR

Middle

MIGUEL

Last Name

FERNANDEZ

Suffix

Business Name

GASPAR MIGUEL FERNANDEZ MD

Original Issue Date

06/29/1994

Effective Date

07/29/2014

Expiration Date

07/31/2017

City

FARMINGTON

State

Zip

63640

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/01/2017