JUAN CARLOS HERNANDEZ Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

ACTIVE

Business

First Name

JUAN

Middle

CARLOS

Last Name

HERNANDEZ

Business Name

JUAN CARLOS HERNANDEZ

Original Issue Date

01/26/2005

Effective Date

06/27/2023

Expiration Date

07/31/2026

City

DIXON

State

Zip

61021

County

LEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/27/2023