MARIA DOLORES HERNANDEZ-ZACHARIAS Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

NOT RENEWED

Business

First Name

MARIA

Middle

DOLORES

Last Name

HERNANDEZ-ZACHARIAS

Business Name

MARIA DOLORES HERNANDEZ-ZACHARIAS

Original Issue Date

08/10/2021

Effective Date

08/10/2021

Expiration Date

07/31/2023

City

CHAMPAIGN

State

Zip

61822

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023