SHANELI FERNANDO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036120600

License Status

ACTIVE

Business

First Name

SHANELI

Last Name

FERNANDO

Suffix

Business Name

SHANELI FERNANDO MD

Original Issue Date

04/15/2008

Effective Date

05/22/2023

Expiration Date

07/31/2026

City

APPLETON

State

Zip

54913

Ever Disciplined

LastModifiedDate

05/22/2023