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General Information

  • Joseph Premalal Fernando, M.D.
  • Name:
  • Pediatrics
  • Primary Specialty:

Address Information

  • 2340 Katy Lane
  • Mailing Address:
  • Address 2:
  • Poplar Bluff, MO 63901
  • City/State/Zip:
  • (573) 776-7393
  • Phone:
  • (573) 712-2895
  • Fax:

License Information

  • E-10434
  • License Number:
  • 03/17/2017
  • Original Issue Date:
  • 04/30/2018
  • Expiration Date:
  • Exam
  • Basis:
  • Active
  • License Status:
  • Unlimited
  • License Category:

Board History

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THIS IS NOT AN OFFICIAL DETAILED LICENSE VERIFICATION