License Directory

Samuel C Fernando Md

Inactive

Illinois license 036046129

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
036046129
Status
Inactive (Permanent Inactive)
First issued
August 17, 1972
Expired
July 31, 2014
License holder
Samuel C Fernando Md
Entity type
Individual

Classifications

More from the license record

Current term began
04/25/2011
Ever disciplined
Yes
Discipline case
2006004299
Discipline action
Suspension
Discipline reason
Violated State and Federal Controlled Substance Laws and Statutes.
Discipline dates
01/02/2007 to 01/01/2008
Discipline action
Probation
Discipline dates
01/02/2008 to 08/19/2019
Discipline action
Summary Suspension
Discipline reason
Violated state and federal controlled substance statutes and for record keeping violations.
Discipline dates
01/02/2007 to 01/02/2007
Discipline action
Permanent Inactive
Discipline reason
due to failure to comply with Department's probation; eff 08/19/2019
Discipline dates
08/19/2019

Other Illinois licenses under this name

  • IL
    Samuel C Fernando Md
    License 33*****86
    Licensed Physician Controlled Substance (Medical Board)
    Expired
    Indian Head Park, IL
    Expired Jul 31, 2014

Contact

Indian Head Park, IL 60525
Cook County