GUSTAVO GABRIEL HERNANDEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041514

License Status

NOT RENEWED

Business

First Name

GUSTAVO GABRIEL

Last Name

HERNANDEZ

Suffix

Business Name

GUSTAVO GABRIEL HERNANDEZ MD

Original Issue Date

11/17/1967

Effective Date

07/30/2008

Expiration Date

07/31/2011

City

ARLINGTON HEIGHTS

State

Zip

60004

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011