FEDERICO ISMAEL HERRERA MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056633

License Status

CANCELLED

Business

Title

First Name

FEDERICO

Middle

ISMAEL

Last Name

HERRERA

Business Name

FEDERICO ISMAEL HERRERA MD

Original Issue Date

07/01/2009

Effective Date

07/01/2009

Expiration Date

06/30/2012

City

BRADLEY

State

Zip

60915

County

KANKAKEE

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

05/11/2009