JENNIFER ANNE HERNANDEZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125055138

License Status

EXPIRED

Business

Title

First Name

JENNIFER

Middle

ANNE

Last Name

HERNANDEZ

Business Name

JENNIFER ANNE HERNANDEZ MD

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

07/23/2011

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/30/2011