DINA RAFAELA GONZALEZ HERNANDEZ MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001587

License Status

EXPIRED

Business

Title

First Name

DINA

Middle

RAFAELA

Last Name

GONZALEZ HERNANDEZ

Business Name

DINA RAFAELA GONZALEZ HERNANDEZ MD

Original Issue Date

05/07/2024

Effective Date

05/07/2024

Expiration Date

06/06/2024

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

Nephrology

Ever Disciplined

LastModifiedDate

01/08/2025