VIVIAN DE LA C HERNANDEZ MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036072838

License Status

INACTIVE

Business

First Name

VIVIAN DE LA C

Last Name

HERNANDEZ

Suffix

Business Name

VIVIAN DE LA C HERNANDEZ MD

Original Issue Date

06/12/1986

Effective Date

06/12/1986

Expiration Date

07/31/1990

City

OAK PARK

State

Zip

60302

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006