KATHY S HERNANDEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036081671

License Status

NOT RENEWED

Business

First Name

KATHY S

Last Name

HERNANDEZ

Suffix

Business Name

KATHY S HERNANDEZ MD

Original Issue Date

10/19/1990

Effective Date

10/19/1990

Expiration Date

07/31/1993

City

ROCKFORD

State

Zip

61104

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/20/2006