RICHARD FLORY FERNANDEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107963

License Status

NOT RENEWED

Business

First Name

RICHARD

Middle

FLORY

Last Name

FERNANDEZ

Suffix

Business Name

RICHARD FLORY FERNANDEZ MD

Original Issue Date

10/04/2002

Effective Date

10/04/2002

Expiration Date

07/31/2005

City

FENTON

State

Zip

63026

County

MISSOURI

Ever Disciplined

LastModifiedDate

12/20/2007