JAMIE G HERNANDEZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125058934

License Status

EXPIRED

Business

Title

First Name

JAMIE

Middle

Last Name

HERNANDEZ

Business Name

JAMIE G HERNANDEZ MD

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2014

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

03/13/2015