GREGORY MICHAEL FERNANDES MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036062768

License Status

NOT RENEWED

Business

First Name

GREGORY MICHAEL

Last Name

FERNANDES

Suffix

Business Name

GREGORY MICHAEL FERNANDES MD

Original Issue Date

08/03/1981

Effective Date

08/03/1981

Expiration Date

07/01/1982

City

MINEOLA

State

Zip

11501

County

NEW YORK

Ever Disciplined

LastModifiedDate

09/20/2006