AUDREY LELA HERTENSTEIN PEREZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125073219

License Status

EXPIRED

Business

Title

First Name

AUDREY

Middle

LELA

Last Name

HERTENSTEIN PEREZ

Business Name

AUDREY LELA HERTENSTEIN PEREZ MD

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

08/31/2021

City

OAK PARK

State

Zip

60302

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

10/11/2022