JOSEPH M HERNANDEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****21

License Status

NOT RENEWED

Business

First Name

JOSEPH M

Last Name

HERNANDEZ

Suffix

Business Name

JOSEPH M HERNANDEZ MD

Original Issue Date

10/25/2002

Effective Date

10/25/2002

Expiration Date

07/31/2005

City

GALESBURG

State

Zip

61401

County

KNOX

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006