EDGAR IVAN HERNANDEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129699

License Status

NOT RENEWED

Business

Title

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

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017