JUAN CARLOS HERNANDEZ Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036112949

License Status

ACTIVE

Business

First Name

JUAN

Middle

CARLOS

Last Name

HERNANDEZ

Business Name

JUAN CARLOS HERNANDEZ

Original Issue Date

01/21/2005

Effective Date

06/27/2023

Expiration Date

07/31/2026

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

06/27/2023