VIRGINIA HERNANDEZ MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053833

License Status

CANCELLED

Business

First Name

VIRGINIA

Last Name

HERNANDEZ

Suffix

Business Name

VIRGINIA HERNANDEZ MD

Original Issue Date

07/18/2007

Effective Date

07/18/2007

Expiration Date

07/17/2010

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

07/18/2007