SOPHY Y HERNANDEZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053930

License Status

EXPIRED

Business

First Name

SOPHY

Middle

Last Name

HERNANDEZ

Suffix

Business Name

SOPHY Y HERNANDEZ MD

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

06/30/2012

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Radiation Oncology

Ever Disciplined

LastModifiedDate

08/29/2012