RAQUEL GARDENIA HERNANDEZ DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058428

License Status

EXPIRED

Business

First Name

RAQUEL

Middle

GARDENIA

Last Name

HERNANDEZ

Suffix

Business Name

RAQUEL GARDENIA HERNANDEZ DO

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2014

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

03/13/2015