JAMES A FERNANDEZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****05

License Status

ACTIVE

Business

First Name

JAMES A

Last Name

FERNANDEZ

Suffix

Business Name

JAMES A FERNANDEZ MD

Original Issue Date

11/13/1986

Effective Date

07/19/2023

Expiration Date

07/31/2026

City

ST LOUIS

State

Zip

63141

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/19/2023