RICHARD P FERNANDEZ Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112846

License Status

NOT RENEWED

Business

First Name

RICHARD

Middle

Last Name

FERNANDEZ

Business Name

RICHARD P FERNANDEZ

Original Issue Date

01/04/2005

Effective Date

06/06/2011

Expiration Date

07/31/2014

City

UPPER ARLINGTON

State

Zip

43221

County

OHIO

Ever Disciplined

LastModifiedDate

11/17/2014