ELENA M HERNANDEZ Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125022471

License Status

EXPIRED

Business

First Name

ELENA

Middle

Last Name

HERNANDEZ

Business Name

ELENA M HERNANDEZ

Original Issue Date

05/19/1988

Effective Date

05/19/1988

Expiration Date

07/01/1991

City

NORTH CHICAGO

State

Zip

60064

County

LAKE

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

09/22/2006