BASIL S HERNANDEZ Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036116747

License Status

ACTIVE

Business

First Name

BASIL

Middle

Last Name

HERNANDEZ

Business Name

BASIL S HERNANDEZ

Original Issue Date

08/11/2006

Effective Date

06/09/2023

Expiration Date

07/31/2026

City

OSWEGO

State

Zip

60543

County

KENDALL

Ever Disciplined

LastModifiedDate

06/09/2023