ALICIA-MARIA FERNANDEZ DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036121579

License Status

NOT RENEWED

Business

First Name

ALICIA-MARIA

Last Name

FERNANDEZ

Suffix

Business Name

ALICIA-MARIA FERNANDEZ DO

Original Issue Date

07/28/2008

Effective Date

01/24/2018

Expiration Date

09/30/2020

City

OSHKOSH

State

Zip

54904

County

WISCONSIN

Ever Disciplined

LastModifiedDate

01/14/2021