CELESTINE Q HERNANDEZ Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036093763

License Status

INACTIVE

Business

First Name

CELESTINE Q

Last Name

HERNANDEZ

Business Name

CELESTINE Q HERNANDEZ

Original Issue Date

07/25/1996

Effective Date

07/25/1996

Expiration Date

07/31/1999

City

CHICAGO

State

Zip

60618

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006