MARTHA E FERNANDEZ MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

ACTIVE

Business

Title

First Name

MARTHA

Middle

Last Name

FERNANDEZ

Business Name

MARTHA E FERNANDEZ MD

Original Issue Date

08/21/2018

Effective Date

05/25/2023

Expiration Date

07/31/2026

City

ST LOUIS

State

Zip

63104

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/25/2023