NATHANYA BAEZ HERNADEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

NOT RENEWED

Business

Title

First Name

NATHANYA

Last Name

BAEZ HERNADEZ

Business Name

NATHANYA BAEZ HERNADEZ MD

Original Issue Date

05/14/2015

Effective Date

06/28/2017

Expiration Date

09/30/2020

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021