STEVEN PETER HERNANDEZ DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****18

License Status

NOT RENEWED

Business

First Name

STEVEN

Middle

PETER

Last Name

HERNANDEZ

Suffix

DDS

Business Name

STEVEN PETER HERNANDEZ DDS

Original Issue Date

09/28/2005

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

MACOMB

State

Zip

61455

County

MCDONOUGH

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/04/2009