EDWIN A HERRERA MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125027591

License Status

EXPIRED

Business

First Name

EDWIN A

Last Name

HERRERA

Suffix

Business Name

EDWIN A HERRERA MD

Original Issue Date

11/22/1991

Effective Date

11/22/1991

Expiration Date

11/20/1993

City

ROCKFORD

State

Zip

61107

County

BOONE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006