EDWARD E HERNAEZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031970

License Status

EXPIRED

Business

First Name

EDWARD E

Last Name

HERNAEZ

Suffix

Business Name

EDWARD E HERNAEZ MD

Original Issue Date

06/24/1994

Effective Date

06/24/1994

Expiration Date

06/30/1997

City

CARBONDALE

State

Zip

62901

County

JACKSON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006