KATHY S HERNANDEZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125022080

License Status

EXPIRED

Business

First Name

KATHY S

Last Name

HERNANDEZ

Suffix

Business Name

KATHY S HERNANDEZ MD

Original Issue Date

05/07/1988

Effective Date

05/07/1988

Expiration Date

07/01/1991

City

ROCKFORD

State

Zip

61107

County

BOONE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006