CARMEN M HERNANDEZ Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125020131

License Status

EXPIRED

Business

First Name

CARMEN

Middle

Last Name

HERNANDEZ

Business Name

CARMEN M HERNANDEZ

Original Issue Date

07/16/1986

Effective Date

07/16/1986

Expiration Date

07/01/1989

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006