MARTHA HERNANDEZ MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

NOT RENEWED

Business

Title

First Name

MARTHA

Last Name

HERNANDEZ

Business Name

MARTHA HERNANDEZ MD

Original Issue Date

05/14/2007

Effective Date

02/24/2020

Expiration Date

09/30/2020

City

EVANSTON

State

Zip

60207

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021