EDGAR IVAN HERNANDEZ MD - Medical Doctor License in Illinois | # 036129699

EDGAR IVAN HERNANDEZ MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129699

License Status

NOT RENEWED

Business

N

Title

MD

First Name

EDGAR

Middle

IVAN

Last Name

HERNANDEZ

Business Name

EDGAR IVAN HERNANDEZ MD

Original Issue Date

03/01/2012

Effective Date

07/08/2014

Expiration Date

07/31/2017

State

IL

Ever Disciplined

N

LastModifiedDate

11/01/2017