EDWIN A HERRERA MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036086713

License Status

NOT RENEWED

Business

First Name

EDWIN A

Last Name

HERRERA

Suffix

Business Name

EDWIN A HERRERA MD

Original Issue Date

07/08/1993

Effective Date

07/08/1993

Expiration Date

07/31/1996

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/17/2012