MAGDIEL TRINIDAD HERNANDEZ Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036114906

License Status

NOT RENEWED

Business

First Name

MAGDIEL

Last Name

TRINIDAD HERNANDEZ

Business Name

MAGDIEL TRINIDAD HERNANDEZ

Original Issue Date

11/22/2005

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

11/14/2011